- GIVE
FILL OUT THIS FORM TO: A GIFT SUBSCRIPTION - EXTEND YOUR SUBSCRIPTION - SIGN UP FOR A DIGITAL SUBSCRIPTION
2011 Country Folks Subscription Prices (good through 12/31/11): One Year (52 issues) . . . . . . By Mail $45 . . OR By Email $25 . . OR Both $60 Two Years (104 issues) . . . . By Mail $75 . . OR By Email $45 . . OR Both $85 (Prices will increase approximately 10% after 1/1/2012) First, Give Us Your Info: Name________________________________________________________________________________ Mailing Address ____________________________________________________________________ City/State/Zip ______________________________________________________________________ Phone ______________________________________________________________________________ Email ______________________________________________________________________________
Page 26 - Section A • COUNTRY FOLKS New England • December 19, 2011
1) __ Yes, Please Extend My Subscription __ One Year
__ Two Years
2) If Giving a Gift Subscription, Give Us the Name and Address of the Recipient: Recipient’s Name ____________________________________________________________________ Mailing Address ____________________________________________________________________ City/State/Zip ______________________________________________________________________ __ Please send me an opportunity to give this gift again when this gift subscription lapses by sending me a notice/invoice. 3) __ I Would Prefer to Receive My Subscription to Country Folks Via Email. __ Email Me a Subscription to Country Folks in Addition to My Mailed Subscription. Send to (email address) ________________________________________________________________ Payment Info: __ Payment Enclosed (Make Check out to: Country Folks) Amount Enclosed $ ________ __ Charge my Credit Card (Mastercard/Visa/Discover/American Express) Card Number ________________________________ Expiration Date ______________________ Your Name as it Appears on the Card ____________________________________________
Mail this form to: Country Folks Subscriptions, PO Box 121, Palatine Bridge, NY 13428 OR Fax this form to 518/673-2322