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
Magazines will be sent to this address in a USPS package / Include Number/Street/City/State/Zip Code
Name of Contact Person
E-mail address of Contact Person
Tel. # of Contact Person
Quantity Per Month
Prices show 50% discount valid until June 4, 2015 / Total Prices for the Full Year
10 Magazines every month for a year: $99
25 Magazines every month for a year: $198
50 Magazines every month for a year: $320
100 Magazines every month for a year: $552
200 Magazines every month for a year: $998
Please, call me because I'd like a different quantity
Please, indicate how you'd like to pay
Payments must be received by June 4 in order to receive discount
I will go to
(PayPal button at the bottom of page) to pay online with a credit card
Please,send invoice by e-mail, I will mail a check to Delaware Hispano Magazine: 2 Rolling Dr. Newark DE 19713
Please, call me. I'd like to pay in a different form.
How did you hear about Delaware Hispano Magazine
I received an e-newsletter in my e-mail
I found it online
Someone told me about it
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