simplecirc.com
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34.207.185.167
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Submitted URL: https://clicks.aweber.com/y/ct/?l=DnZIx&m=3ZmZtpARogn72GY&b=4BWiJOCToS.vZXgqNH67Bw
Effective URL: https://simplecirc.com/subscribe/midwest-outdoors/
Submission: On July 12 via manual from ZA — Scanned from DE
Effective URL: https://simplecirc.com/subscribe/midwest-outdoors/
Submission: On July 12 via manual from ZA — Scanned from DE
Form analysis 2 forms found in the DOM
POST https://simplecirc.com/new_subscriber_subscription_order
<form id="new-subscriber-form" class="" role="form" method="POST" action="https://simplecirc.com/new_subscriber_subscription_order">
<input type="hidden" name="_token" value="RMuNNnoqz0O9TSceYRjp93yqptFloVNI3s4R9hPl">
<input type="hidden" name="publication_id" value="1665">
<input type="hidden" name="prospect_id" value="">
<div class="row">
<div id="order-error" class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8 alert alert-danger alert-important text-center" style="padding:10px; margin-top:30px; margin-bottom:0px; display:none;"></div>
</div>
<div id="prices-wrapper" class="row">
<div class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8 checkout-sections-block"> Choose Your Subscription </div>
<div id="prices_section" class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8">
<div class="row visible-xs" style="margin-bottom:20px;">
<div class="col-xs-12" style="margin-top:0px;">
<div style="margin-bottom:10px;">
<small class="subscriber-country-types">Click here for <a href="https://simplecirc.com/subscribe/midwest-outdoors?c=canada">Canadian</a> or <a href="https://simplecirc.com/subscribe/midwest-outdoors?c=international">International</a>
subscriptions</small><br>
</div>
</div>
<div class=" col-xs-12 " style="margin-bottom:10px; margin-top:0px;">
<a class="cursor-pointer" data-toggle="modal" data-target="#promo-code"><small class="apply-promo-code-xs">Apply Promo Code</small></a>
</div>
</div>
<div class="row hidden-xs" style="margin-bottom:20px;">
<div class="col-xs-8" style="margin-top:0px;">
<div style="margin-bottom:10px;">
<small class="subscriber-country-types">Click here for <a href="https://simplecirc.com/subscribe/midwest-outdoors?c=canada">Canadian</a> or <a href="https://simplecirc.com/subscribe/midwest-outdoors?c=international">International</a>
subscriptions</small><br>
</div>
</div>
<div class=" col-xs-4 text-right " style="margin-bottom:10px; margin-top:0px;">
<a class="cursor-pointer" data-toggle="modal" data-target="#promo-code"><small class="apply-promo-code">Apply Promo Code</small></a>
</div>
</div>
<div class="radio price-radio-div">
<label class="price-radio-label">
<input type="radio" class="price-radio" name="price_id" value="25617" dollar-amount="19.95" segments="0" preorder="0" bogo="0" bogo-price="FREE" gift-bogo="0" gift-bogo-price="FREE" checked="">
<strong> One year of MidWest Outdoors magazine, print and digital combo (10 issues) - $19.95 USD </strong>
</label>
</div>
<div class="radio price-radio-div">
<label class="price-radio-label">
<input type="radio" class="price-radio" name="price_id" value="27098" dollar-amount="39.90" segments="0" preorder="0" bogo="0" bogo-price="FREE" gift-bogo="0" gift-bogo-price="FREE">
<strong> Two years of MidWest Outdoors magazine, print and digital combo (20 issues) - $39.90 USD </strong>
</label>
</div>
<div class="radio price-radio-div">
<label class="price-radio-label">
<input type="radio" class="price-radio" name="price_id" value="26903" dollar-amount="9.95" segments="0" preorder="0" bogo="0" bogo-price="FREE" gift-bogo="0" gift-bogo-price="FREE">
<strong> One year of MidWest Outdoors magazine, digital edition (10 issues) - $9.95 USD </strong>
</label>
</div>
<div class="radio price-radio-div">
<label class="price-radio-label">
<input type="radio" class="price-radio" name="price_id" value="27101" dollar-amount="19.90" segments="0" preorder="0" bogo="0" bogo-price="FREE" gift-bogo="0" gift-bogo-price="FREE">
<strong> Two years of MidWest Outdoors magazine, digital edition (20 issues) - $19.90 USD </strong>
</label>
</div>
<br>
<div class="form-group">
<div class="row">
<div class="col-md-12">
<div class="float-left" style="display:inline-block; width:125px;">Number of Copies</div>
<input id="copies" type="text" class="form-control subscriber-copies float-left" name="copies" style="display:inline-block; width:50px;" value="1">
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8 checkout-sections-block"> Your Information </div>
<div class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8">
<div class="row">
<div class="col-sm-6">
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="subscriber-name">Full Name <span class="text-danger">*</span></label>
<input type="text" class="form-control is-required subscriber-input" id="subscriber-name" name="name" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="subscriber-company">Company </label>
<input type="text" class="form-control subscriber-input" id="subscriber-company" name="company" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="address-1">Address 1 <span class="text-danger">*</span></label>
<input type="text" class="form-control is-required subscriber-input pac-target-input" id="address-1" name="address_1" placeholder="" value="" autocomplete="off">
</div>
<div class="form-group">
<label class="control-label" style="margin-bottom:0px;" for="address-2">Address 2</label>
<input type="text" class="form-control subscriber-input" id="address-2" name="address_2" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="city">City <span class="text-danger">*</span></label>
<input type="text" class="form-control is-required subscriber-input" id="city" name="city" placeholder="" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="country">Country <span class="text-danger">*</span></label>
<select class="form-control is-required subscriber-input" id="country" name="country">
<option value="United States">United States</option>
</select>
</div>
<div id="state-wrapper" class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="state" id="state-label">State <span class="text-danger">*</span></label>
<select class="form-control is-required subscriber-input" id="state" name="state">
<option></option>
<option value="AL">ALABAMA (AL)</option>
<option value="AK">ALASKA (AK)</option>
<option value="AS">AMERICAN SAMOA (AS)</option>
<option value="AZ">ARIZONA (AZ)</option>
<option value="AR">ARKANSAS (AR)</option>
<option value="AA">ARMED FORCES AMERICAS (AA)</option>
<option value="AE">ARMED FORCES EUROPE (AE)</option>
<option value="AP">ARMED FORCES PACIFIC (AP)</option>
<option value="CA">CALIFORNIA (CA)</option>
<option value="CO">COLORADO (CO)</option>
<option value="CT">CONNECTICUT (CT)</option>
<option value="DE">DELAWARE (DE)</option>
<option value="DC">DISTRICT OF COLUMBIA (DC)</option>
<option value="FL">FLORIDA (FL)</option>
<option value="GA">GEORGIA (GA)</option>
<option value="GU">GUAM (GU)</option>
<option value="HI">HAWAII (HI)</option>
<option value="ID">IDAHO (ID)</option>
<option value="IL">ILLINOIS (IL)</option>
<option value="IN">INDIANA (IN)</option>
<option value="IA">IOWA (IA)</option>
<option value="KS">KANSAS (KS)</option>
<option value="KY">KENTUCKY (KY)</option>
<option value="LA">LOUISIANA (LA)</option>
<option value="ME">MAINE (ME)</option>
<option value="MH">MARSHALL ISLANDS (MH)</option>
<option value="MD">MARYLAND (MD)</option>
<option value="MA">MASSACHUSETTS (MA)</option>
<option value="MI">MICHIGAN (MI)</option>
<option value="FM">MICRONESIA (FM)</option>
<option value="MN">MINNESOTA (MN)</option>
<option value="MS">MISSISSIPPI (MS)</option>
<option value="MO">MISSOURI (MO)</option>
<option value="MT">MONTANA (MT)</option>
<option value="NE">NEBRASKA (NE)</option>
<option value="NV">NEVADA (NV)</option>
<option value="NH">NEW HAMPSHIRE (NH)</option>
<option value="NJ">NEW JERSEY (NJ)</option>
<option value="NM">NEW MEXICO (NM)</option>
<option value="NY">NEW YORK (NY)</option>
<option value="NC">NORTH CAROLINA (NC)</option>
<option value="ND">NORTH DAKOTA (ND)</option>
<option value="MP">NORTHERN MARIANAS (MP)</option>
<option value="OH">OHIO (OH)</option>
<option value="OK">OKLAHOMA (OK)</option>
<option value="OR">OREGON (OR)</option>
<option value="PW">PALAU (PW)</option>
<option value="PA">PENNSYLVANIA (PA)</option>
<option value="PR">PUERTO RICO (PR)</option>
<option value="RI">RHODE ISLAND (RI)</option>
<option value="SC">SOUTH CAROLINA (SC)</option>
<option value="SD">SOUTH DAKOTA (SD)</option>
<option value="TN">TENNESSEE (TN)</option>
<option value="TX">TEXAS (TX)</option>
<option value="UT">UTAH (UT)</option>
<option value="VT">VERMONT (VT)</option>
<option value="VI">VIRGIN ISLANDS (VI)</option>
<option value="VA">VIRGINIA (VA)</option>
<option value="WA">WASHINGTON (WA)</option>
<option value="WV">WEST VIRGINIA (WV)</option>
<option value="WI">WISCONSIN (WI)</option>
<option value="WY">WYOMING (WY)</option>
</select>
</div>
<div id="province-wrapper" class="form-group " style="display: none;">
<label class="control-label" style="margin-bottom:0px;" for="province" id="province-label">Province <span class="text-danger">*</span></label>
<select class="form-control is-required subscriber-input" id="province" name="province">
<option></option>
<option value="AB">ALBERTA (AB)</option>
<option value="BC">BRITISH COLUMBIA (BC)</option>
<option value="MB">MANITOBA (MB)</option>
<option value="NB">NEW BRUNSWICK (NB)</option>
<option value="NL">NEWFOUNDLAND AND LABRADOR (NL)</option>
<option value="NT">NORTHWEST TERRITORIES (NT)</option>
<option value="NS">NOVA SCOTIA (NS)</option>
<option value="NU">NUNAVUT (NU)</option>
<option value="ON">ONTARIO (ON)</option>
<option value="PE">PRINCE EDWARD ISLAND (PE)</option>
<option value="QC">QUEBEC (QC)</option>
<option value="SK">SASKATCHEWAN (SK)</option>
<option value="YT">YUKON (YT)</option>
</select>
</div>
<div id="other-state-wrapper" class="form-group " style="display: none;">
<label class="control-label" style="margin-bottom:0px;" for="state-other" id="state-other-label">State/Province <span class="text-danger">*</span></label>
<input type="text" class="form-control is-required subscriber-input" id="state-other" name="state_other" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="zipcode" id="zipcode-label">Zipcode <span class="text-danger">*</span></label>
<input type="text" class="form-control is-required subscriber-input" id="zipcode" name="zipcode" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="email">Email <span class="text-danger">*</span></label>
<input type="email" class="form-control is-required is-email email-input" id="email" name="email" placeholder="" value="">
</div>
</div>
</div>
</div>
</div>
<div id="bogo-section" class="row" style=" display:none; ">
<div class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8" style="margin-top:20px;">
<div class="checkbox">
<label class="bogo-container" style="display: block; position: relative; padding-left: 35px; margin-bottom: 12px; cursor: pointer; font-size: 125%; -webkit-user-select: none; -moz-user-select: none; -ms-user-select: none; user-select: none;">
<span id="bogo-price">Include a FREE gift subscription</span>
<input id="bogo-checkbox" class="" type="checkbox" name="bogo_checkbox">
<span class="checkmark"></span>
</label>
</div>
</div>
<div id="bogo-fields" class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8" style="margin-top:10px; ">
<div class="row">
<div class="col-sm-6">
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-subscriber-name">Full Name <span class="text-danger">*</span></label>
<input type="text" class="form-control bogo-input is-required subscriber-input" id="bogo-subscriber-name" name="bogo_name" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-subscriber-company">Company</label>
<input type="text" class="form-control bogo-input subscriber-input" id="bogo-subscriber-company" name="bogo_company" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-address-1">Address 1 <span class="text-danger">*</span></label>
<input type="text" class="form-control bogo-input is-required subscriber-input pac-target-input" id="bogo-address-1" name="bogo_address_1" placeholder="" value="" autocomplete="off">
</div>
<div class="form-group">
<label class="control-label" style="margin-bottom:0px;" for="bogo-address-2">Address 2</label>
<input type="text" class="form-control bogo-input subscriber-input" id="bogo-address-2" name="bogo_address_2" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-city">City <span class="text-danger">*</span></label>
<input type="text" class="form-control bogo-input is-required subscriber-input" id="bogo-city" name="bogo_city" placeholder="" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-country">Country <span class="text-danger">*</span></label>
<select class="form-control bogo-input is-required subscriber-input" id="bogo-country" name="bogo_country">
<option value="United States">United States</option>
</select>
</div>
<div id="bogo-state-wrapper" class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-state" id="bogo-state-label">State <span class="text-danger">*</span></label>
<select class="form-control bogo-input is-required subscriber-input" id="bogo-state" name="bogo_state">
<option></option>
<option value="AL">ALABAMA (AL)</option>
<option value="AK">ALASKA (AK)</option>
<option value="AS">AMERICAN SAMOA (AS)</option>
<option value="AZ">ARIZONA (AZ)</option>
<option value="AR">ARKANSAS (AR)</option>
<option value="AA">ARMED FORCES AMERICAS (AA)</option>
<option value="AE">ARMED FORCES EUROPE (AE)</option>
<option value="AP">ARMED FORCES PACIFIC (AP)</option>
<option value="CA">CALIFORNIA (CA)</option>
<option value="CO">COLORADO (CO)</option>
<option value="CT">CONNECTICUT (CT)</option>
<option value="DE">DELAWARE (DE)</option>
<option value="DC">DISTRICT OF COLUMBIA (DC)</option>
<option value="FL">FLORIDA (FL)</option>
<option value="GA">GEORGIA (GA)</option>
<option value="GU">GUAM (GU)</option>
<option value="HI">HAWAII (HI)</option>
<option value="ID">IDAHO (ID)</option>
<option value="IL">ILLINOIS (IL)</option>
<option value="IN">INDIANA (IN)</option>
<option value="IA">IOWA (IA)</option>
<option value="KS">KANSAS (KS)</option>
<option value="KY">KENTUCKY (KY)</option>
<option value="LA">LOUISIANA (LA)</option>
<option value="ME">MAINE (ME)</option>
<option value="MH">MARSHALL ISLANDS (MH)</option>
<option value="MD">MARYLAND (MD)</option>
<option value="MA">MASSACHUSETTS (MA)</option>
<option value="MI">MICHIGAN (MI)</option>
<option value="FM">MICRONESIA (FM)</option>
<option value="MN">MINNESOTA (MN)</option>
<option value="MS">MISSISSIPPI (MS)</option>
<option value="MO">MISSOURI (MO)</option>
<option value="MT">MONTANA (MT)</option>
<option value="NE">NEBRASKA (NE)</option>
<option value="NV">NEVADA (NV)</option>
<option value="NH">NEW HAMPSHIRE (NH)</option>
<option value="NJ">NEW JERSEY (NJ)</option>
<option value="NM">NEW MEXICO (NM)</option>
<option value="NY">NEW YORK (NY)</option>
<option value="NC">NORTH CAROLINA (NC)</option>
<option value="ND">NORTH DAKOTA (ND)</option>
<option value="MP">NORTHERN MARIANAS (MP)</option>
<option value="OH">OHIO (OH)</option>
<option value="OK">OKLAHOMA (OK)</option>
<option value="OR">OREGON (OR)</option>
<option value="PW">PALAU (PW)</option>
<option value="PA">PENNSYLVANIA (PA)</option>
<option value="PR">PUERTO RICO (PR)</option>
<option value="RI">RHODE ISLAND (RI)</option>
<option value="SC">SOUTH CAROLINA (SC)</option>
<option value="SD">SOUTH DAKOTA (SD)</option>
<option value="TN">TENNESSEE (TN)</option>
<option value="TX">TEXAS (TX)</option>
<option value="UT">UTAH (UT)</option>
<option value="VT">VERMONT (VT)</option>
<option value="VI">VIRGIN ISLANDS (VI)</option>
<option value="VA">VIRGINIA (VA)</option>
<option value="WA">WASHINGTON (WA)</option>
<option value="WV">WEST VIRGINIA (WV)</option>
<option value="WI">WISCONSIN (WI)</option>
<option value="WY">WYOMING (WY)</option>
</select>
</div>
<div id="bogo-province-wrapper" class="form-group " style="display: none;">
<label class="control-label" style="margin-bottom:0px;" for="bogo-province" id="bogo-province-label">Province <span class="text-danger">*</span></label>
<select class="form-control bogo-input is-required subscriber-input" id="bogo-province" name="bogo_province">
<option></option>
<option value="AB">ALBERTA (AB)</option>
<option value="BC">BRITISH COLUMBIA (BC)</option>
<option value="MB">MANITOBA (MB)</option>
<option value="NB">NEW BRUNSWICK (NB)</option>
<option value="NL">NEWFOUNDLAND AND LABRADOR (NL)</option>
<option value="NT">NORTHWEST TERRITORIES (NT)</option>
<option value="NS">NOVA SCOTIA (NS)</option>
<option value="NU">NUNAVUT (NU)</option>
<option value="ON">ONTARIO (ON)</option>
<option value="PE">PRINCE EDWARD ISLAND (PE)</option>
<option value="QC">QUEBEC (QC)</option>
<option value="SK">SASKATCHEWAN (SK)</option>
<option value="YT">YUKON (YT)</option>
</select>
</div>
<div id="bogo-other-state-wrapper" class="form-group " style="display: none;">
<label class="control-label" style="margin-bottom:0px;" for="bogo-state-other" id="bogo-state-other-label">State/Province <span class="text-danger">*</span></label>
<input type="text" class="form-control bogo-input is-required subscriber-input" id="bogo-state-other" name="bogo_state_other" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-zipcode" id="bogo_zipcode-label">Zipcode <span class="text-danger">*</span></label>
<input type="text" class="form-control bogo-input is-required subscriber-input" id="bogo-zipcode" name="bogo_zipcode" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" style="margin-bottom:0px;" for="bogo-email">Email</label>
<input type="email" class="form-control bogo-input email-input" id="bogo-email" name="bogo_email" placeholder="" value="">
</div>
</div>
</div>
</div>
<div id="additional-bogo-recipients">
</div>
</div>
<div class="row" id="payment-area-wrapper" style="">
<div class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8 checkout-sections-block"> Payment Information </div>
<div class="col-sm-12 col-md-offset-1 col-md-10 col-lg-offset-2 col-lg-8">
<div>
<input type="hidden" name="payment_type_id" value="1">
<div id="CC-section" class="pay-by-section">
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label class="control-label" style="margin-bottom:0px;" for="bill-to-name">Name on Card</label>
<input type="text" class="form-control subscriber-input" id="bill-to-name" name="bill_to_name_cc" placeholder="" value="">
</div>
<div id="card-element" class="StripeElement StripeElement--empty">
<div class="__PrivateStripeElement"
style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important; --stripeElementWidth: 360px;">
<iframe name="__privateStripeFrame9866" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-89e97d3cfc14879a80f444997476e7a6.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=true&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51ILvkYLKDwodkncXYCfDvPpVV78WCZufhidM47WcXxiNDNBgD5GxKpz6REMUXytyKAkrdLD3Lg6TZ4MlsaX3uWf200BoFF1v8e&referrer=https%3A%2F%2Fsimplecirc.com%2Fsubscribe%2Fmidwest-outdoors%2F&controllerId=__privateStripeController9861"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important; z-index: -1 !important;">
<div
style="display: block !important; position: absolute !important; top: 50% !important; right: -6px !important; width: 105px !important; margin: -16px 0px 0px !important; padding: 0px !important; border: 0px !important; background: none !important; opacity: 1 !important; overflow: hidden !important; visibility: visible !important; height: 32px !important; transition: none 0s ease 0s !important;">
<iframe frameborder="0" allowtransparency="true" scrolling="no" src="https://js.stripe.com/v3/elements-inner-link-button-for-card-cede6e144c298546e4321323c19f0bf4.html#locale=en"
style="margin: 0px !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; display: block !important; position: absolute !important; top: 0px !important; right: 0px !important; height: 32px !important; width: calc(var(--stripeElementWidth) + 12px) !important; padding: 0px !important; border: 0px !important; overflow: hidden !important; opacity: 1 !important; visibility: visible !important; transition: none 0s ease 0s !important;"
tabindex="-1"></iframe></div>
</div>
</div>
<br>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group" style="margin-bottom:0px;">
<div class="row">
<div class="col-md-12">
<div class="checkbox">
<label>
<input id="billing-address-checkbox-x" class="billing-address-checkbox" type="checkbox" name="billing_address" checked=""> Billing address is the same as subscription </label>
</div>
</div>
</div>
</div>
<div id="billing-address-form-x" style="display:none; margin-bottom:15px; margin-top:15px;">
<div class="row">
<div class="col-sm-6">
<div class="form-group ">
<label class="control-label subscriber-input" for="bill-to-company">Billing Company</label>
<input type="text" class="form-control" id="bill-to-company" name="bill_to_company" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label subscriber-input" for="billing-address-1">Billing Address 1 <span class="text-danger">*</span></label>
<input type="text" class="form-control pac-target-input" id="billing-address-1" name="billing_address_1" placeholder="" value="" autocomplete="off">
</div>
<div class="form-group">
<label class="control-label subscriber-input" for="billing-address-2">Billing Address 2</label>
<input type="text" class="form-control" id="billing-address-2" name="billing_address_2" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label subscriber-input" for="billing-city">Billing City <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="billing-city" name="billing_city" placeholder="" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group ">
<label class="control-label" for="billing-country">Billing Country <span class="text-danger">*</span></label>
<select class="form-control subscriber-input" id="billing-country" name="billing_country">
<option value="United States">United States</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Caribbean Netherlands ">Caribbean Netherlands </option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of">Congo, Democratic Republic of</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Saint-Martin (France)">Saint-Martin (France)</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Korea">South Korea</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican">Vatican</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands (British)">Virgin Islands (British)</option>
<option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
<option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select>
</div>
<div id="billing-state-wrapper" class="form-group ">
<label class="control-label" for="billing-state">Billing State <span class="text-danger">*</span></label>
<select class="form-control subscriber-input" id="billing-state" name="billing_state">
<option></option>
<option value="AL">ALABAMA (AL)</option>
<option value="AK">ALASKA (AK)</option>
<option value="AS">AMERICAN SAMOA (AS)</option>
<option value="AZ">ARIZONA (AZ)</option>
<option value="AR">ARKANSAS (AR)</option>
<option value="AA">ARMED FORCES AMERICAS (AA)</option>
<option value="AE">ARMED FORCES EUROPE (AE)</option>
<option value="AP">ARMED FORCES PACIFIC (AP)</option>
<option value="CA">CALIFORNIA (CA)</option>
<option value="CO">COLORADO (CO)</option>
<option value="CT">CONNECTICUT (CT)</option>
<option value="DE">DELAWARE (DE)</option>
<option value="DC">DISTRICT OF COLUMBIA (DC)</option>
<option value="FL">FLORIDA (FL)</option>
<option value="GA">GEORGIA (GA)</option>
<option value="GU">GUAM (GU)</option>
<option value="HI">HAWAII (HI)</option>
<option value="ID">IDAHO (ID)</option>
<option value="IL">ILLINOIS (IL)</option>
<option value="IN">INDIANA (IN)</option>
<option value="IA">IOWA (IA)</option>
<option value="KS">KANSAS (KS)</option>
<option value="KY">KENTUCKY (KY)</option>
<option value="LA">LOUISIANA (LA)</option>
<option value="ME">MAINE (ME)</option>
<option value="MH">MARSHALL ISLANDS (MH)</option>
<option value="MD">MARYLAND (MD)</option>
<option value="MA">MASSACHUSETTS (MA)</option>
<option value="MI">MICHIGAN (MI)</option>
<option value="FM">MICRONESIA (FM)</option>
<option value="MN">MINNESOTA (MN)</option>
<option value="MS">MISSISSIPPI (MS)</option>
<option value="MO">MISSOURI (MO)</option>
<option value="MT">MONTANA (MT)</option>
<option value="NE">NEBRASKA (NE)</option>
<option value="NV">NEVADA (NV)</option>
<option value="NH">NEW HAMPSHIRE (NH)</option>
<option value="NJ">NEW JERSEY (NJ)</option>
<option value="NM">NEW MEXICO (NM)</option>
<option value="NY">NEW YORK (NY)</option>
<option value="NC">NORTH CAROLINA (NC)</option>
<option value="ND">NORTH DAKOTA (ND)</option>
<option value="MP">NORTHERN MARIANAS (MP)</option>
<option value="OH">OHIO (OH)</option>
<option value="OK">OKLAHOMA (OK)</option>
<option value="OR">OREGON (OR)</option>
<option value="PW">PALAU (PW)</option>
<option value="PA">PENNSYLVANIA (PA)</option>
<option value="PR">PUERTO RICO (PR)</option>
<option value="RI">RHODE ISLAND (RI)</option>
<option value="SC">SOUTH CAROLINA (SC)</option>
<option value="SD">SOUTH DAKOTA (SD)</option>
<option value="TN">TENNESSEE (TN)</option>
<option value="TX">TEXAS (TX)</option>
<option value="UT">UTAH (UT)</option>
<option value="VT">VERMONT (VT)</option>
<option value="VI">VIRGIN ISLANDS (VI)</option>
<option value="VA">VIRGINIA (VA)</option>
<option value="WA">WASHINGTON (WA)</option>
<option value="WV">WEST VIRGINIA (WV)</option>
<option value="WI">WISCONSIN (WI)</option>
<option value="WY">WYOMING (WY)</option>
</select>
</div>
<div id="billing-province-wrapper" class="form-group " style="display: none;">
<label class="control-label" for="billing-province">Billing Province <span class="text-danger">*</span></label>
<select class="form-control subscriber-input" id="billing-province" name="billing_province">
<option></option>
<option value="AB">ALBERTA (AB)</option>
<option value="BC">BRITISH COLUMBIA (BC)</option>
<option value="MB">MANITOBA (MB)</option>
<option value="NB">NEW BRUNSWICK (NB)</option>
<option value="NL">NEWFOUNDLAND AND LABRADOR (NL)</option>
<option value="NT">NORTHWEST TERRITORIES (NT)</option>
<option value="NS">NOVA SCOTIA (NS)</option>
<option value="NU">NUNAVUT (NU)</option>
<option value="ON">ONTARIO (ON)</option>
<option value="PE">PRINCE EDWARD ISLAND (PE)</option>
<option value="QC">QUEBEC (QC)</option>
<option value="SK">SASKATCHEWAN (SK)</option>
<option value="YT">YUKON (YT)</option>
</select>
</div>
<div id="billing-other-state-wrapper" class="form-group " style="display: none;">
<label class="control-label" for="billing-state-other">Billing State / Province <span class="text-danger">*</span></label>
<input type="text" class="form-control subscriber-input" id="billing-state-other" name="billing_state_other" placeholder="" value="">
</div>
<div class="form-group ">
<label class="control-label" for="billing-zipcode" id="billing-zipcode-label">Zipcode <span class="text-danger">*</span></label>
<input type="text" class="form-control subscriber-input" id="billing-zipcode" name="billing_zipcode" placeholder="" value="">
</div>
</div>
</div>
</div>
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<p class="text-primary purchase-summary-title"> Purchase Summary </p>
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<!-- summary~response --> One year of MidWest Outdoors magazine, print and digital combo (10 issues) <br>
<strong>$19.95 USD</strong>
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* Give a Gift * Renew / Login * Shop SUBSCRIBE TO MIDWEST OUTDOORS NOW! With 10 issues and more than 1,000 articles each year, MidWest Outdoors magazine is all about helping you enjoy the outdoors. Each issue is filled with articles by outdoor experts on where to go, what to use, and how to use it... whether you’re close to home or on that trip of a lifetime. » Learn from local and regional experts! » Monthly marked lake maps! » Must-have gear info! » Nature Notes! » Much more! NEW DIGITAL EDITION! MidWest Outdoors now publishes a Digital Edition, which you can access from your computer or smartphone. In addition to being able to read MWO wherever you go, MidWest Outdoors' Digital Edition gives you access to additional features not found in the print edition. » Read MWO on-the-go on any online device! » Access to ALL state section articles—30+ per month! » Access to additional marked lake maps! » Access to more than 30 past issues of MWO! Subscribe to MidWest Outdoors print magazine and receive MidWest Outdoors' Digital Edition free. SUBSCRIBE TO MIDWEST OUTDOORS NOW! With 10 issues and more than 1,000 articles each year, MidWest Outdoors magazine is all about helping you enjoy the outdoors. Each issue is filled with articles by outdoor experts on where to go, what to use, and how to use it... whether you’re close to home or on that trip of a lifetime. » Learn from local and regional experts! » Monthly marked lake maps! » Must-have gear info! » Nature Notes! » Much more! NEW DIGITAL EDITION! MidWest Outdoors now publishes a Digital Edition, which you can access from your computer or smartphone. In addition to being able to read MWO wherever you go, MidWest Outdoors' Digital Edition gives you access to additional features not found in the print edition. » Read MWO on-the-go on any online device! » Access to ALL state section articles—30+ per month! » Access to additional marked lake maps! » Access to more than 30 past issues of MWO! Subscribe to MidWest Outdoors print magazine and receive MidWest Outdoors' Digital Edition free. 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