Legendary Ford Magazine - Mail in MILITARY GIFT Subscription Form

Mail In MILITARY GIFT Subscription Form Print and Mail this form with your Payment Payment must be included when mailing this form. MILITARY Gift Subscriptions received without payment will be discarded. Please make sure you read and understand the terms of Subscription at the end of this form.
PAYMENT INFORMATION
Payment Type (circle): Check Money Order Credit Card: American Express Discover MasterCard Visa
Credit Card Number
Expiration Date
Name on Card
Signature (must be signed on mail in Credit Card Orders)
SENDER INFORMATION
Your Name/Company
Your Address
Your City
Your State
Your Zip
Your Country
Your email address (optional)
MILITARY PERSONNEL GIFT RECIPIENT INFORMATION
ADOPT a SOLDIER		□ CHECK HERE if you want us to select a soldier
Their Name
Their Address
Their City
Their State
Their Zip
Their Country
Their email address (optional)
SELECT YOUR GIFT (check one)		CONDITIONS
MILITARY GIFT SUBSCRIPTION		● The Gift Subscription MUST mail to a military address ● All funds payable in US dollars please.
US/Domestic	□ $24.95
Canadian	□ $43.95
You can also order by calling 949-338-5602 or by sending a check or money order to: Legendary Ford Magazine P.O. Box 2707 Grants Pass, OR 97528-0285