|
Subscribers must provide the following
contact information:
(** You must fill in all of the fields marked by an asterix **.)
|
* First Name
|
* Last
Name
|
* Company/Organization
|
* Mailing
Address
|
* City
|
* State/Province
|
* Zip or Postal Code
|
Country
|
* Phone
(e.g. 555-555-5555)
|
* Email
|
* Confirm Email
|
* Password (A password is required to access Petroleum News' online edition and archives.)
|
* Confirm Password
|
Gift Subscription address
information
|
* Full
Name (for your Giftee)
|
* Address (for your giftee)
|
* City (Giftee)
|
* State (Giftee)
|
* Zip (Giftee)
|
* Country (Giftee)
|
* Email (Giftee)
|
* Confirm Email (Giftee)
|
Payment
method (check one)
NOTE: All credit card data routes to our secure local
server but if you prefer call us collect with your
credit card information at 907-522-9469. All currency is in U.S. dollars.
|
Visa
Mastercard
American Express
|
* Card
Number
SecurityCode
3-digit number on back at right of signature block.
* Expires
(mm/yyyy)
/ |
|
* Name as appears on credit
card
* Billing Address for your credit
card
Street, City, State, Zip where you statements are mailed.
* Phone number to reach
cardholder
|
|
Your Comments
Please take a moment to tell us how you found our Petroleum News website. (Optional)
Friend/Co-worker
Search Engine
Conference/Trade Show
Print Media
Other (Please Describe below)
|
|
Notes: We record IP addresses for security purposes/verification. Yours is: 54.82.219.70.
Canceled subscription will be prorated and refunded based on a 52 week subscription. All canceled subscriptions will be charged a $10 processing fee. To ensure delivery of our publication, be sure to add our sending address, circulation@petroleumnews.com to your e-mail address book and also please whitelist that address to ensure delivery.
P.O. Box 231647 | Anchorage, AK 99523-1647 | Phone: 907-522-9469 | Fax: 907-522-9583
|