Name:
E-mail:

Address (line 1):
Address (line 2):
Apartment/suite number:
City:
State: Zip code:
Telephone number:

Date to stop delivery:
Date to restart delivery:

Please choose one of the following:

Please hold my newspapers in a vacation package and deliver them on the morning of my restart date.

Please credit my account for the number of days I have listed above that I will be on vacation.

Please donate my papers to Newspapers in Education on the days I have listed above that I will be on vacation. These newspapers will be given to local classrooms and used as a teaching tool.