Rock & Sling Order Form

First Name (required)

Last Name (required)

Mailing Address Line 1 (required)

Mailing Address Line 2

City (required)

State/Province (required)

ZIP/Postal Code (required)

Telephone

( ) -

E-mail (required)

Subscription Options

1. New Subscriber

2. Renewing Subscriber

3. Current undergraduate or graduate student ($10 for one year)
	Name of School Anticipated Year of Graduation

4. Whitworth alumni, faculty or staff ($15 for one year)

5. Institution ($100 for two years)
	Name of Institution

Comments

After clicking the Make Payment button you will be redirected to U.S. Bank's secure electronic payment site. Please note that registration is optional; this feature will allow you to store payment account and billing information securely for future use. If you prefer not to register, just click the Pay Without Registering button and follow the on-screen instructions.

Payment Options:

E-Check: This option allows you to use a bank account (savings or checking) to make your payment. Please have your account information ready, including the routing transit number (A 9-digit number that identifies your bank), and savings/checking account number.

Important: If paying by e-check, you will be prompted for a Payor ID. Please record the following number for use in this field: 1965.

Credit Card: This option allows you to use a credit card or a debit card with a MasterCard or Visa logo to make your payment. Please have your account information ready, including the credit card number, security code, expiration date, and billing address.