DPC_NEW_START_DIGITAL_PROMO

NEW MEMBER INFORMATION:

(* = required field)

First Name*:

Middle Initial:

Last Name*:

Suffix (e.g. Jr, III, etc):

Primary Telephone*: [enter in format: XXX-XXX-XXXX]

Zip Code*:

Email Address*:

Note: Email is a required field to permit complete access to theday.com, The Day Passport member rewards program, and all other premium digital products. You will receive an email with receipt of your membership enrollment request, along with instructions for setting up your member profile on theday.com.

MEMBERSHIP SELECTION :

Choose your membership plan*:

Digital Subscription: 12 Weeks for $1 Digital Subscription: 26 Weeks for $2

*At the end of the 12 week introductory period, your digital subscription will automatically renew at $12.50/month unless you notify us otherwise by phone or in writing.

BILLING INFORMATION: :

(Complete only if different from above)

Billing Name:

Billing Address:

Billing City:

Billing State:

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Billing Zip:

PAYMENT INFORMATION:

Credit Card Type*:

American Express Discover MasterCard Visa

Credit Card Number*:

Credit Card Expiration*: (enter in format: MM/YY)

By enrolling as a member, you authorize The Day Publishing Company to charge your credit card for the amount selected. Membership renewals will automatically be deducted on your choice of a monthly or annual schedule. This offer may not be combined with any other promotion.