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Subscription Type *	1-Year e-Lifeline Subscription ($13.00 for one year) 1 year (10 issues) e-Lifeline Subscription. 2-Year e-Lifeline Subscription ($26.00 for 2 years) 2 year (20 issues) e-Lifeline Subscription. 3-Year e-Lifeline Subscription ($39.00 for 3 years) 3 year (30 issues) e-Lifeline Subscription.
Payment System *	PayPal secure credit card payment Authorize.Net Web Payment Credit card payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again