SUBSCRIPTION TO THE HARRISON NEWS-HERALD
| Please check one from each of the following: | |||
| Are
you: |
|||
| Type
of Subscription: |
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| Delivery Address | |||
| First Name | |||
| Last Name | |||
| Address | |||
| City | |||
| State | Zip Code | ||
| Telephone | |||
| Billing
Address (Check
here if same as delivery |
|||
| First Name | |||
| Last Name | |||
| Address | |||
| City | |||
| State | Zip Code | ||
| Payment Information | |||
| Type of Payment | |||
| Credit
Card Type (Circle One) |
|
||
| Credit Card Number | |||
| Expiration Date | |||
| Signature | |||
When you have completed the form, please fax it to 740-942-4667 (Credit Card
only) or
mail it to: Harrison News-Herald, 130 North Main Street., Cadiz, OH 43907