Magazine Subscription Form - Design 1


Name
First
Last 

Email:
Phone:

Address: 

City, State, Zip Code: 
Country: 

Topic Selection:
Magazine
Select?
Yearly Fee
Sports Weekly Mania
$120.00
Men's Health
$144.00
Business Weekly
$240.00
Fast Cars Mania
$120.00
Holiday Wonders
$144.00
 
 
 
If you select more than one magazine, you get monthly fee discount of $10 x number of magazine.
 
$0.00

Please select the billing frequency: You get a further 5% discount for quarterly billing or 10% discount if you pay yearly. 

Total payment:
$0.00
Billing frequency:

Annual Saving:
$0.00
% saving:
0

Thank you for subscribing to our magazines! 
Basic Plan
Total payment:$0.00
Billing frequencyevery month
Submit
This form is protected by Google reCAPTCHA. Privacy - Terms.
 
Built using Zapof