ELDER UPDATE ELECTRONIC SUBSCRIPTION FORM

Online Subscription

The Department of Elder Affairs welcomes your online subscription to the Elder Update newspaper.

How to use the subscription form below:

Simply type in your responses to information requested. Use the TAB key to move to the next field. If you need to move back to the previous field, use SHIFT-TAB or click on the field with the mouse. Fields in BOLDFACE type are required to process the subscription request and must be filled in. Once all of the required fields are filled in, click on the SEND button at the bottom of the form to send your request.

If all responses are filled in correctly, you will receive a "Thank You" message acknowledging that your subscription request has been sent and will be processed. If you will receive an "Error" message, please return to the subscription request form by clicking on the BACK button, complete the required information and send it again.

*Please allow 8 to 10 weeks to receive the first issue or for changes to take effect.


Fields in boldface are required and must be filled

Please check one of the following:

  • Check if new subscription
  • Check for changes
  • For changes to mailing label, please enter your unique identification number located directly above your name on the mailing label.
  • If you do not have the identification number, you need to enter your old address in the COMMENTS field at the bottom to ensure proper corrections are made.

How many copies?

Contact information:

Title (Mr., Mrs., Dr., etc.) :

 

First Name:

 

Middle Initial:

 

Last Name:

 

Year of Birth :

  Statistical Purpose Only

Mailing Address:

 

Address, line 1:

 

Address, line 2:

 

City:

 

State:

Florida

Zip:

plus four

County:

Phone #:

Email Address:


To contact the Elder Update editor, please send an email directly to: eueditor@elderaffairs.org