digital PIF old subscription order form

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Digital Subscription ORDER FORM

* Indicates required field

Your name *

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Last

Your email *

Is this a renewal? *

No Yes

_____________________________________________

The newsletter is a gift to you
paid for by someone who subscribed before you. $0 balance due.
And, if you'd like, you can reciprocate by paying for someone
else's subscription and this way joining our Pay-It-Forward
experiment in generosity. 

Pay-it-forward payment options *

Paypal/credit card I will mail a check I'd prefer not to pay

Contribution amount *

(suggested) $20 -$80

I paid for someone else and ... *

I'd like to remain anonymous Include my first name and message

Message to the one you're gifting *

____________________________________________

How did you hear about us? *

website/search engine Positive News in print someone referred me link on another website fundraising appeal other

Note to us *

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