Inclusion Daily Express

Disability Rights News Service
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GIFT SUBSCRIPTION

This is the place to order a gift certificate for a subscription to Inclusion Daily Express or Inclusion Weekly Review email news service for a friend, colleague family member or advocate.

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 fax or mail.

1. Do you want us to mail the gift certificate to the person directly OR do you want us to send it 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:
Fax:
Website Address:

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

4. Which of these three plans do you prefer?
Plan A: One year for $89.95
Plan B: Six months for $47.49
Plan C: Three months for $24.95
(prices listed in US Dollars, but we do accept other currencies. If you are ordering outside the US
click here for currency exchange rates.)

5. Recipient information: If you want for me 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:
Fax:
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:

Name on credit card:
Type of card:
Expiration Date: (mm/yy)
Card Number:

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!
[Note: When you click on the next button, you may get a message telling you the security certificates do not match. This is normal because I am using my webhost's (Interlink Advantage) secured line. You may click on "accept", confident that your information is secure. As an alternative, you may call 1-866-516-8279 (in USA) to provide that information, or print this form to mail or fax to 509-472-3220.]

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

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