Gazeta Wyborcza Home / Office Delivery

Please print this page, fill out the form and mail it to Marcin Zmudzki, 1748 Columbia Road, N.W., Suite 4, Washington, DC  20009, USA, or fax it directly to NewspaperDirect at (604) 278-4684.

Gazeta Wyborcza Virginia Subscription Form (NDMZ003)

First Name  
Middle Initial  
Last Name  
Address Line 1  
Address Line 2  
Address Line 3  
City  
State VA
Zipcode  
Country USA
E-mail Address  
Name (as it appears
 on your credit card)
 
Credit Card Number

Never send your credit card
 number by regular email.

Credit Card Exp. Date  
Delivery Option [ ] Mon. - Sat. -- $52.00 per mo. + 3.5% state tax + 1.0% local tax = $54.34*
[ ] Mon. - Fri. -- $44.00 per mo. + 3.5% state tax + 1.0% local tax = $45.98*
[ ] Tue. & Sat. -- $20.00 per mo. + 3.5% state tax + 1.0% local tax = $20.90*
[ ] Sat. only -- $10.40 per mo. + 3.5% state tax + 1.0% local tax = $10.87*
Space for your instructions for the delivery person or other comments  

* Rates reflect NewspaperDirect's 20% introductory discount for the first 3 months of service, applicable to subscription orders placed by January 15, 2001.  After that period, rates will be $65.00, $55.00, $25.00 and $13.00, plus tax, respectively.  All rates stated on this page are in U.S. dollars.

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