First Name
Last Name
Address
City
State
Zip
Phone
Fax
I want to pay for my subscription with a credit card.
Select Card
Card No.
(Call our subscription account manager, Deanie Rumfola at
225-343-2540
and give her the credit card number)
Exp Date
01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
Month
Year
2006
2006
2007
2008
2009
2010
If you are paying by credit card, your card will be charged $28.00 and your subscription will begin the following week. If you are paying by check, your subscription will start when the check is received in our office.
E-mail
I prefer to pay by check and will send my $28.00 check by mail.
One Year out of Parish or State: $42
© 2005, West Side Journal, Port Allen, Louisiana