Banner Rotary Gear Logo

ON-LINE SUBSCRIPTION FORM

Step 1: INSTRUCTIONS:
Enter the information where the flag is to be placed below.
If this is a GIFT subscription, enter the name and address of the flag recipient and where it is to be placed, then in the lower section check the "Gift" box and enter your own name, phone number, and e-mail address, then press the "Submit" button. Thank you.

Select one of these four options:
* This is a BRAND NEW subscription for: Me     A Gift Recipient.
* This is a RENEWAL for: My present subscription     A previous GIFT subscription.
* If this is a RENEWAL, please enter your Custiomer ID number: (it can be found in the email you received reminding you to renew, look in the bottom section next to your customer name).

Please place a flag at:
First Name:         Last Name:

Street address:

City:   State:     Zip (9 digits):

Phone Number (###) ###-####:

E-mail address:         Number of flags:
        There is a sprinkler system
        There is an electric underground fence for pets
_________________________________________________________________

If this is a gift subscription check this box then enter your:
        Giftor's First Name:
        Giftor's Last Name:
        Giftor's Phone Number (###) ###-####:
        Giftor's E-mail address:
Please indicate whether we should contact you as donor, or the gift recipient, in late 2020 when it is time to renew this gift subscription for 2021: Me     Recipient
_________________________________________________________________

Please press the "Submit" button  to continue to Step 2 and on to the checkout.