JHN_WEB_PORTAL

CUSTOMER INFORMATION: (* = required field)

First Name*:

Last Name*:

Suffix:

Primary Phone*: (enter in XXX-XXX-XXXX format)

Mobile Phone: (enter in XXX-XXX-XXXX format)

Delivery Address*:

City*:

State*:

Zip Code*:

Email*:

* You will receive email confirmation of this transaction.

How much would you like to pay towards your account?*

Click the box below to sign up for EZ-Pay. Your account will be automatically drafted once a month at your current rate. You can stop EZ-Pay at any time by calling our customer service center at 800-397-9397.

Yes! Sign me up for EZ-Pay.

BILLING INFORMATION: (Complete if different from delivery information)

Billing Name:

Billing Address:

Billing City:

Billing State:

- Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Billing Zip:

PAYMENT INFORMATION:

Credit Card Type*:

- Select - American Express Discover MasterCard Visa

Credit Card Number*:

Credit Card Expiration*: (Enter as MM/YY)

Credit Card CID*: (CID is a unique 3-digit code for Visa, Mastercard and Discover and 4-digit code for AMEX)

**Your subscription payment will be completed within 2-3 business days after you click submit and the credit or debit card payment is successfully authorized by your financial institution. If selecting EZ-Pay, you authorize us to automatically deduct each renewal payment from the credit or debit card provided on this form, until you notify us to cancel. At the end of your current term, your card will be automatically debited at the current rate until you notify us otherwise. All subscriptions may include membership to Shaw Media's premium membership package, which includes up to nine Premium Issues per year and all-access digital benefits to www.TheHerald-News.com, including the online newspaper. For each Premium Issue, your account balance will be debited a fee up to $3.99 when the section publishes and an additional $2.00 for all-access digital each month, resulting in shortening the length of your billing period. Premium membership is a continuous subscription, and you may cancel or opt-out of the membership package. Please call us at 800-397-9397. Prices on future bills may increase. Renewal dates may be impacted by different factors; including membership package, change in delivery, service adjustments and interruptions in service. Unless we are notified, delivery will continue beyond your renewal date.

I agree to the above conditions and The Herald-News Terms of Use and Privacy Policy.

Yes