Gift_Subscription1

Welcome to The Day's Secure Gift Membership Order Form

Please complete the information below and hit submit.

MEMBER INFORMATION:

(recipient of the gift membership)
(*=required field)
First Name*:
Middle Initial:
Last Name*:
Suffix (e.g. Jr, III, etc):
Primary Telephone*:
[enter in format: XXX-XXX-XXXX]
Delivery Address*:
City*:
State*:
ZIP Code*:
BILLING INFORMATION:
(Complete only if different from above)
Billing Name:
Billing Address:
Billing City:
Billing State:
Billing ZIP:
PAYMENT INFORMATION:
Credit Card Type*:
Credit Card Number*:
Credit Card Expiration*:
(enter in format: MM/YY)
By ordering a gift membership, you authorize The Day Publishing Company to charge your credit card for the amount selected. EZ Pay will automatically be deducted on a monthly schedule. This offer may not be combined with any other promotion.
GIFT MEMBERSHIP:
Choose your delivery schedule*:
Desired Delivery Start Date*:
Gift Membership Announcement*:
(The gift membership announcement is a card to the receiver announcing your gift of a membership to The Day.)
Gift Card Message*:
Email Address*:
(Of the individual purchasing the gift subscription)
Note: Email address of the gift membership purchaser is a required field to confirm receipt of your gift membership order.