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Current Mail Subscribers

Regular Mail Subscription to Online Subscription Changeover Form

If you are already a Chartist mail subscriber and would like to switch to our new online format, please complete the following form. We will discontinue your mail subscription and you will receive the newsletter(s) and hotline(s) online. There will be no additional cost to switch and your current ending date will remain the same.

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Personal Information

First Name*
Last Name*
Address 1*
Address 2
City*
State
Province
ZIP / Postal Code*
Country*
Business Phone*
Home Phone

Account Information

E-Mail*
All correspondence (including notifications of new hotlines and newsletters) will be sent to the email address you provide above.
Username*
You must choose a unique username that will be used to identify yourself on our system. This username must be from 5-20 characters, alphanumeric (letters and numbers) only.
Password*
Retype Password*
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