Subscription & Renewal E-form 2 (back up)

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Use this convienent  form to subscribe directly by e-mail (without paypal), using your Visa, M/C or Amex:
 
Even if you paid thru PayPal, you should submit this form to provide us with additional details.
 
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I am...(Check One)A First time Subscriber
Renewing my Subscription
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Subsc. Type (check one)Regular US Mail, ($40)
Cananda (mail), $54 US Dollars
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Only E-Mail Version, $25
Special First Class US Mail, $55
Check Here if you want email too - in addition to Regular Mail (No Extra Charge)
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Gemara Shabbos Menukad?Yes! Please send Gemara and charge my credit card ($15 for New Subscribers / $20 for current members)
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Al Hadaf * POB 791 * Monsey NY, 10952 *  Ph. 845-356-9114 *