Bulk Subscription Order Form for Delaware Hispano Magazine
Please, complete the form and make sure to click "submit" at the end. A confirmation message should follow.
Name of your Organization *
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Mailing Address *
Magazines will be sent to this address in a USPS package / Include Number/Street/City/State/Zip Code
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Name of Contact Person *
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E-mail address of Contact Person *
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Tel. # of Contact Person *
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Quantity Per Month *
Prices show 50% discount valid until June 4, 2015 / Total Prices for the Full Year
Please, indicate how you'd like to pay *
Payments must be received by June 4 in order to receive discount
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