Inclusion Daily Express

International Disability Rights News Service
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SAVE NOW ON A NEW SUBSCRIPTION [OR TWO OR THREE]!

Between now and January 31, 2013, this is the place to order a subscription to Inclusion Daily Express international disability rights news service for a friend, colleague, family member or advocate -- or even for yourself!

You can either fill out this page to order on line, or click the button at the bottom of the page to print this form to send 'snail mail'.

1. If this is a gift, do you want us to email a gift certificate to the person directly OR do you want us to send one to you so you can give it to that person?
Mail it to me
Mail it to the person

2. Purchaser information (The items that have an asterisk [*] are required.)
YOUR EMAIL ADDRESS IS THE MOST IMPORTANT ITEM.
Privacy policy: All of your information will stay private and confidential and will NEVER, EVER be given, sold, or shared with anyone for any reason without your permission.

*EMAIL ADDRESS:
*First name:
*Last Name:
Title:
Organization:
*Mailing Address:
*City:
*State/Province:
*Zip/Postal Code:
*Country:
*Phone:
Website Address:

3. How many subscriptions are you ordering? (One subscription may be delivered to as many as 10 readers.)

4. Select from these four choices the subscription plan that is best for you or your organization
(amounts listed in US dollars. If ordering outside the US, click here for an exchange rate calculator) :

Plan A: Two years for $139.95 (usually $159.95) SAVE $20!

Plan B: One year for $69.95 (usually $89.95) SAVE $20!

Plan C: Six months for $37.49 (usually $47.49) SAVE $10!

Plan D: Three months for $24.95

5. Recipient information: If you want for us to mail the gift certificate to the recipient, please fill in the following: (Again, the items that have an asterisk [*] are required.)

*Recipient's First Name:
*Last Name:
Organization:
*Address:
*City:
*State/Province:
*Postal/Zip Code:
*Country:
*Daytime Phone:
*Email:

6. Which payment method works best for you? (Your gift certificate will be mailed on the day payment is received or processed)
Pay with credit or debit card [we can send you an electronic invoice or phone you]

Pay by check, money order or purchase order (We will send you a billing statement through email)

Any comments or questions?

Thank you for your order!

IMPORTANT: Please double-check your EMAIL address above, then. . .

Did you have any problems with this form?
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Get your news here!

Inclusion Daily Express
3231 W. Boone Ave., # 711
Spokane, Washington 99201 USA
Phone: 509-326-5811

news@inclusiondaily.com
Copyright © 2013 Inonit Publishing