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Marietta Daily Journal Home Delivery Subscriber Form
First Name
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Last Name
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Address 1
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Address 2
City
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State
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Zip
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Home Area Code
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Home Phone Number (555-5555)
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Email
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Name on Card EXACTLY AS IT APPEARS ON CARD
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Promo code
Subscription length
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6 month subscription - $93.63 ($3.60/wk) *Best Value
3 month subscription - $49.25 ($3.79/wk)
1 month subscription - $14.11 *Auto-renewal. Card will be charged monthly until you cancel.
Credit Card Type
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Visa
MasterCard
American Express
Discover
Credit Card Number
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Expiration Date (mm/yy)
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CCV Security Code
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