Magazine Subscription Form - Design 2
Magazine Selection:
Fashionate Diva
12 Months $30.00
Food Table
12 Months $30.00
All About Sports
12 Months $30.00
The Student Magazine
12 Months $25.00
Garden Mania
12 Months $25.00
Motor Fun
12 Months $30.00
Please select the billing frequency: Save 10% for yearly billing or
5% for quarterly billing.
Total Payment:
Billing frequency:
Customer Details
Title
First Name
Last Name
Phone Number
Email Address
Billing Address
Address Line 1
Address Line 2
City/Town
State/Province
Postal/Zip Code
Country
Delivery Address
Same as the billing address
Address Line 1
Address Line 2
City/Town
State/Province
Postal/Zip Code
Country
| Basic Plan | |
| Total Payment: | $0.00 |
| Billing frequency | every month |
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