Gift_Subscription1

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.

Welcome to The Day's Secure Gift Membership Order Form