What is the name of the person receiving the gift? *
Your answer
What is the gift recipient's email address? This is where they will receive the weekly newsletter. *
Your answer
When would you like their subscription to start? (This is when they'll be notified of the gift, too) *
MM
/
DD
/
YYYY
If you already have your own subscription, do you give consent to The Roanoke Rambler to access your card information on file from Stripe, our secure, third-party payment platform, to sign up your gift recipient? *
What is the best way (and what are the best times) to reach you by phone for your payment information or to get more information if we need to? NOTE: NEVER insert payment information on Google Forms; we will NEVER ask for payment info in this format. *
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Big Blue Press. Report Abuse