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REGISTRATION INFORMATION
* Email
* Password
* Confirm Email
* Confirm Password

* Required Information


DELIVERY INFORMATION
* First Name
* Last Name
*Country
*Street Address
* City
* State
* Zip
* Phone
- -


* Required Information
Firmline/Company (Optional)

BILLING INFORMATION

* Name On Card
* Card Number
* CVV
* Card Type
* Expiration Date

Bank Account Number*
Account Type*
Routing Number*
Debit Day*

Billing Address Same As Delivery


First Name
Last Name
Country
Street Address
City
State
Zip




Subscription Information

Type:
Tax Amount: $
Cost
Personal Information

Email
Name


Delivery Information

Country:
Street:
City:
State:
Zip/Postal Code:
Billing Information

Name
Country:
Street:
City:
State:
Zip/Postal Code:


Payment Information

Credit Card Number
Credit Card Type
Credit Card Exp
Payment Information
Bank Account Number
Bank Account Type
Bank Routing Number
Debit Day
Day of the Month




You will receive $5.00 OFF the regular subscription rate of $30 for the first year. After that, we will send an email reminder and charge your credit card for a standard Auto-Pay subscription each year when it is time to renew. Your subscription can be cancelled at any time. Offer available in Nassau County, NY only.

For help with out of town subscriptions contact us by phone at 800-231-6152 Option 7 or Email us at circ@liherald.com. Expires FEBRUARY 28, 2016.

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