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<title>The Daily Item, Sunbury, PA--Form - Address Change</title>
  <link>http://www.dailyitem.com</link>
<description></description>
<language>en-us</language>
<copyright>Copyright CNHI All Rights Reserved.</copyright>

<ttl>5</ttl>

<item>
<pubdate>Fri, 11 Apr 2008 11:06:00 +0000</pubdate>
 <guid>http://www.dailyitem.com/form_address_change/local_story_102110713.html</guid>
 <title></title>
  <link>http://www.dailyitem.com/form_address_change/local_story_102110713.html</link>
  <description>

<div style="width:400px;">
	
	<p>Please use the following form to change your delivery/mailing address of your subscription to 
	The Daily Item.</p>
	
	<h3>How to Reach Us:</h3>
	<p>Circulation Department
	Phone: (570) 286-5755
	Toll-Free: (800) 792-2303
	Hours: 8AM - 5PM Monday - Friday  and amp; 7AM - 11AM Saturday - Sunday
	E-mail us at <a href="mailto:circulation@dailyitem.com?subject=Address%20Change">circulation@dailyitem.com</a></p>
	
	<h2>Address Change</h2>
	<form id="form" method="post" action="http://community.cnhi.com/formmail2.php"> 
		Your Fullname: *
		<input type="text" name="Name" id="Name" class="textfield" value="">
		
		<h3>Current Address Information</h3>
		Street Address: *
		<input type="text" name="Current-Street" id="Current-Street" class="textfield" value="">
		
		City: *
		<input type="text" name="Current-City" id="Current-City" class="textfield" value="">
		
		State: *
		<select name="Current-State" id="Current-State" class="textfield">
			<option value="PA, US">Pennsylvania</option>
			<option value="AL, US">Alabama</option>
			<option value="AK, US">Alaska</option>
			<option value="AZ, US">Arizona</option>
			<option value="AR, US">Arkansas</option>
			<option value="CA, US">California</option>
			<option value="CO, US">Colorado</option>
			<option value="CT, US">Connecticut</option>
			<option value="DE, US">Delaware</option>
			<option value="DC, US">District of Columbia</option>
			<option value="FL, US">Florida</option>
			<option value="GA, US">Georgia</option>
			<option value="HI, US">Hawaii</option>
			<option value="ID, US">Idaho</option>
			<option value="IL, US">Illinois</option>
			<option value="IN, US">Indiana</option>
			<option value="IA, US">Iowa</option>
			<option value="KS, US">Kansas</option>
			<option value="KY, US">Kentucky</option>
			<option value="LA, US">Louisiana</option>
			<option value="ME, US">Maine</option>
			<option value="MD, US">Maryland</option>
			<option value="MA, US">Massachusetts</option>
			<option value="MI, US">Michigan</option>
			<option value="MN, US">Minnesota</option>
			<option value="MS, US">Mississippi</option>
			<option value="MO, US">Missouri</option>
			<option value="MT, US">Montana</option>
			<option value="NE, US">Nebraska</option>
			<option value="NV, US">Nevada</option>
			<option value="NH, US">New Hampshire</option>
			<option value="NJ, US">New Jersey</option>
			<option value="NM, US">New Mexico</option>
			<option value="NY, US">New York</option>
			<option value="NC, US">North Carolina</option>
			<option value="ND, US">North Dakota</option>
			<option value="OH, US">Ohio</option>
			<option value="OK, US">Oklahoma</option>
			<option value="OR, US">Oregon</option>
			<option value="RI, US">Rhode Island</option>
			<option value="SC, US">South Carolina</option>
			<option value="SD, US">South Dakota</option>
			<option value="TN, US">Tennessee</option>
			<option value="TX, US">Texas</option>
			<option value="UT, US">Utah</option>
			<option value="VT, US">Vermont</option>
			<option value="VA, US">Virginia</option>
			<option value="WA, US">Washington</option>
			<option value="WV, US">West Virginia</option>
			<option value="WI, US">Wisconsin</option>
			<option value="WY, US">Wyoming</option>
		</select>
		
		Zip Code:
		<input type="text" name="Current-Zip" id="Current-Zip" class="textfield" style="width:80px;" value="">
		
		<h3>New Address Information</h3>
		Street Address: *
		<input type="text" name="New-Street" id="New-Street" class="textfield" value="">
		
		City: *
		<input type="text" name="New-City" id="New-City" class="textfield" value="">
		
		Current State: *
		<select name="New-State" id="New-State" class="textfield">
			<option value=""> and nbsp;&#150; and nbsp; Current State  and nbsp;&#150; and nbsp;</option>
			<option value="AL, US">Alabama</option>
			<option value="AK, US">Alaska</option>
			<option value="AZ, US">Arizona</option>
			<option value="AR, US">Arkansas</option>
			<option value="CA, US">California</option>
			<option value="CO, US">Colorado</option>
			<option value="CT, US">Connecticut</option>
			<option value="DE, US">Delaware</option>
			<option value="DC, US">District of Columbia</option>
			<option value="FL, US">Florida</option>
			<option value="GA, US">Georgia</option>
			<option value="HI, US">Hawaii</option>
			<option value="ID, US">Idaho</option>
			<option value="IL, US">Illinois</option>
			<option value="IN, US">Indiana</option>
			<option value="IA, US">Iowa</option>
			<option value="KS, US">Kansas</option>
			<option value="KY, US">Kentucky</option>
			<option value="LA, US">Louisiana</option>
			<option value="ME, US">Maine</option>
			<option value="MD, US">Maryland</option>
			<option value="MA, US">Massachusetts</option>
			<option value="MI, US">Michigan</option>
			<option value="MN, US">Minnesota</option>
			<option value="MS, US">Mississippi</option>
			<option value="MO, US">Missouri</option>
			<option value="MT, US">Montana</option>
			<option value="NE, US">Nebraska</option>
			<option value="NV, US">Nevada</option>
			<option value="NH, US">New Hampshire</option>
			<option value="NJ, US">New Jersey</option>
			<option value="NM, US">New Mexico</option>
			<option value="NY, US">New York</option>
			<option value="NC, US">North Carolina</option>
			<option value="ND, US">North Dakota</option>
			<option value="OH, US">Ohio</option>
			<option value="OK, US">Oklahoma</option>
			<option value="OR, US">Oregon</option>
			<option value="PA, US">Pennsylvania</option>
			<option value="RI, US">Rhode Island</option>
			<option value="SC, US">South Carolina</option>
			<option value="SD, US">South Dakota</option>
			<option value="TN, US">Tennessee</option>
			<option value="TX, US">Texas</option>
			<option value="UT, US">Utah</option>
			<option value="VT, US">Vermont</option>
			<option value="VA, US">Virginia</option>
			<option value="WA, US">Washington</option>
			<option value="WV, US">West Virginia</option>
			<option value="WI, US">Wisconsin</option>
			<option value="WY, US">Wyoming</option>
		</select>
		
		Zip Code:
		<input type="text" name="New-Zip" id="New-Zip" class="textfield" style="width:80px;" value="">
		
		New Delivery Address Instructions (if any):
		<textarea name="New-Delivery-Instructions" id="New-Delivery-Instructions" class="textfield"></textarea>
		
		New Delivery Address Billing Information (if any):
		<textarea name="New-Billing-Info" id="New-Billing-Info" class="textfield"></textarea>
		
		Start Date: *
		<span style="padding-left:20px;">MM </span><input name="Start-Date" class="textfield2" maxlength="2">
		<span>DD </span><input name="Start-Date" class="textfield2" maxlength="2">
		<span>YYYY </span><input name="Start-Date" class="textfield2" maxlength="4">
		
		<h3>Contact Information</h3>
		Phone (xxx-xxx-xxxx): *
		<input name="Phone" id="Phone" size="12" class="textfield" maxlength="15">
		
		Email Address: *
		<input type="text" name="Email" class="textfield" value="">
		
		
		<p>* Denotes A Required Field</p>
		
		
		<input type="submit" name="submit" value="Submit">
		<input type="hidden" name="redirect" value="http://static.dailyitem.com/forms/thanks/thanks-address-change.htm">
		<input type="hidden" name="recipient" value="circulation@dailyitem.com,website@dailyitem.com">
		<input type="hidden" name="subject" value="Address Change Request from The DailyItem.com">
		<input type="hidden" name="require" value="Name, Current-Street, Current-City, Current-State, New-Street, New-City, New-State, Start-Date, Phone, Email">
	</form> 

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