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EmailMe Form - Change of Address Form

<!DOCTYPE html> <html lang="en"> <head><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("https://www.emailmeform.com/builder/form/YdR68lFeTA9","20170203214329","https://web.archive.org/","web","/_static/", "1486158209"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" /> <!-- End Wayback Rewrite JS Include --> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>EmailMe Form - Change of Address Form</title> <link rel="shortcut icon" href="//web.archive.org/web/20170203214329im_/https://assets.emailmeform.com/favicon.ico?RU1GLTAyLTI5"/> <link rel="stylesheet" type="text/css" href="//web.archive.org/web/20170203214329cs_/https://assets.emailmeform.com/styles/dynamic.php?t=post&amp;enable_responsive_ui=1&amp;RU1GLTAyLTI5"/> <link rel="stylesheet" type="text/css" href="https://web.archive.org/web/20170203214329cs_/https://www.emailmeform.com/builder/theme_css/YdR68lFeTA9"/> <style> #emf-container, #emf-container-outer #emf-form-shadows{box-sizing: border-box;-webkit-box-sizing: border-box;-moz-box-sizing: border-box;width:640px} @media screen and (max-width: 656px) {#emf-container,#emf-container-outer #emf-form-shadows {width: 100%;} } </style> </head> <body id="emf-container-wrap" class="form"> <div id="emf-container-outer"> <div id="emf-container"> <div id="emf-logo"><a>EmailMeForm</a></div> <div class="emf-error-message" style="display:none"></div> <form id="emf-form" target="_self" class="leftLabel" enctype="multipart/form-data" method="post" action="https://web.archive.org/web/20170203214329/https://www.emailmeform.com/builder/form/YdR68lFeTA9"><div id="emf-form-instruction" class="emf-head-widget"> <div id="emf-form-title" class="emf-bold">Change of Address Form</div><div id="emf-form-description"><strong>Thank you for subscribing to your local newspaper! We appreciate and value you as a reader!</strong><br/> <br/> The Pamplin Media Group family of newspapers, including the Portland Tribune and 25 Local Community Newspapers, cover the local news and events that matter most to you. We are Oregon's largest source of local news!<br/> <br/> <font color="red"><strong>Change of Address Instructions:</strong></font> Please select the publication you are currently subscribing to, enter your old and new mailing address, account # (if known) and valid contact information.</div> </div> <ul> <li id="emf-li-0" class="emf-li-field emf-field-select data_container cell_align_left"> <label class="emf-label-desc" for="element_0">Current Subscription: <span>*</span></label> <div class="emf-div-field"><select id="element_0" name="element_0" class="validate[required]" my_choice_order_type=""><option value="" selected="selected" my_order_property="first">Please Select Publication</option><option value="The Portland Tribune">The Portland Tribune</option><option value="The Beaverton Valley Times">The Beaverton Valley Times</option><option value="The Clackamas Review">The Clackamas Review</option><option value="The Canby Herald">The Canby Herald</option><option value="The Central Oregonian">The Central Oregonian</option><option value="The Estacada News">The Estacada News</option><option value="The Forest Grove News-Times">The Forest Grove News-Times</option><option value="The Gresham Outlook">The Gresham Outlook</option><option value="The Hillsboro Tribune">The Hillsboro Tribune</option><option value="The Lake Oswego Review">The Lake Oswego Review</option><option value="The Madras Pioneer">The Madras Pioneer</option><option value="The Molalla Pioneer">The Molalla Pioneer</option><option value="The Newberg Graphic">The Newberg Graphic</option><option value="The Oregon City News">The Oregon City News</option><option value="The Regal Courier">The Regal Courier</option><option value="The Sandy Post">The Sandy Post</option><option value="The Sellwood Bee">The Sellwood Bee</option><option value="Sherwood Gazette">Sherwood Gazette</option><option value="South County Spotlight">South County Spotlight</option><option value="Southwest Community Connection">Southwest Community Connection</option><option value="The Times">The Times</option><option value="The West Linn Tidings">The West Linn Tidings</option><option value="The Wilsonville Spokesman">The Wilsonville Spokesman</option><option value="The Woodburn Independent">The Woodburn Independent</option><option value="Boom! Boomers and Beyond">Boom! Boomers and Beyond</option></select></div> <div class="emf-clear"></div> </li><li id="emf-li-1" class="emf-li-field emf-field-section_break cell_align_left"> <div class="emf-div-field-section"><div class="emf-section-separator"></div> <h3 id="element_1" name="element_1">Old Delivery Address</h3></div> <div class="emf-clear"></div> </li><li id="emf-li-2" class="emf-li-field emf-field-new_name data_container cell_align_left"> <label class="emf-label-desc" for="element_2">Name <span>*</span></label> <div class="emf-div-field"><span style="width:60px"> <input class="validate[required]" style="width:100%" value="" id="element_4" name="element_4" type="text"/> <label for="element_4" class="emf-bottom-label emf-text-center">First</label> </span><span style="width:100px"> <input class="validate[required]" style="width:100%" value="" id="element_5" name="element_5" type="text"/> <label for="element_5" class="emf-bottom-label emf-text-center">Last</label> </span></div> <div class="emf-clear"></div> </li><li id="emf-li-7" class="emf-li-field emf-field-new_address data_container cell_align_left"> <label class="emf-label-desc" for="element_7">Address <span>*</span></label> <div class="emf-div-field"> <div style="width:99%;"> <span class="emf-full emf-field-new_address-addr1"> <input type="text" value="" id="element_8" name="element_8" class="emf-full validate[required]"/> <label for="element_8" class="emf-bottom-label">Street Address</label> </span> <span class="emf-left emf-half emf-field-new_address-city"> <input type="text" value="" id="element_10" name="element_10" class="emf-full validate[required]"/> <label for="element_10" class="emf-bottom-label">City</label> </span> <span class="emf-right emf-half emf-field-new_address-state"> <input type="text" value="" id="element_11" name="element_11" class="emf-full validate[required]"/> <label for="element_11" class="emf-bottom-label">State / Province / Region</label> </span> <span class="emf-left emf-half emf-field-new_address-zipcode"> <input type="text" value="" id="element_12" name="element_12" class="emf-full validate[required]"/> <label for="element_12" class="emf-bottom-label">Postal / Zip Code</label> </span> <span class="emf-right emf-half emf-field-new_address-country"> <select id="element_13" name="element_13" class="emf-address validate[required]"> <option value="">&nbsp;</option><optgroup label="North America"><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Aruba">Aruba</option><option value="Bahamas">Bahamas</option><option value="Barbados">Barbados</option><option value="Belize">Belize</option><option value="Canada">Canada</option><option value="Cayman Islands">Cayman Islands</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cuba">Cuba</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="El Salvador">El Salvador</option><option value="Grenada">Grenada</option><option value="Guatemala">Guatemala</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Jamaica">Jamaica</option><option value="Mexico">Mexico</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="Nicaragua">Nicaragua</option><option value="Panama ">Panama </option><option value="Puerto Rico ">Puerto Rico </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="Trinidad and Tobago">Trinidad and Tobago</option><option value="United States" selected="selected">United States</option></optgroup><optgroup label="South America"><option value="Argentina">Argentina</option><option value="Bolivia">Bolivia</option><option value="Brazil">Brazil</option><option value="Chile">Chile</option><option value="Colombia">Colombia</option><option value="Ecuador">Ecuador</option><option value="Guyana">Guyana</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Suriname">Suriname</option><option value="Uruguay">Uruguay</option><option value="Venezuela">Venezuela</option></optgroup><optgroup label="Europe"><option value="Albania">Albania</option><option value="Andorra">Andorra</option><option value="Armenia">Armenia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Bulgaria">Bulgaria</option><option value="Croatia">Croatia</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Estonia">Estonia</option><option value="Faroe Islands">Faroe Islands</option><option value="Finland">Finland</option><option value="France">France</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Greece">Greece</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="Ireland">Ireland</option><option value="Italy">Italy</option><option value="Kosovo">Kosovo</option><option value="Latvia">Latvia</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macedonia">Macedonia</option><option value="Malta">Malta</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Montenegro">Montenegro</option><option value="Netherlands">Netherlands</option><option value="Norway">Norway</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Romania">Romania</option><option value="San Marino">San Marino</option><option value="Serbia">Serbia</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Spain">Spain</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Ukraine">Ukraine</option><option value="United Kingdom">United Kingdom</option><option value="Vatican City">Vatican City</option></optgroup><optgroup label="Asia"><option value="锘緼fghanistan">锘緼fghanistan</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Bhutan">Bhutan</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Myanmar">Myanmar</option><option value="Cambodia">Cambodia</option><option value="China">China</option><option value="East Timor">East Timor</option><option value="Hong Kong">Hong Kong</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Israel">Israel</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Lebanon">Lebanon</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mongolia">Mongolia</option><option value="Nepal">Nepal</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palestine">Palestine</option><option value="Philippines">Philippines</option><option value="Qatar">Qatar</option><option value="Russia">Russia</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Singapore">Singapore</option><option value="Sri Lanka">Sri Lanka</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Thailand">Thailand</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="United Arab Emirates">United Arab Emirates</option><option value="Uzbekistan">Uzbekistan</option><option value="Vietnam">Vietnam</option><option value="Yemen">Yemen</option></optgroup><optgroup label="Oceania"><option value="Australia">Australia</option><option value="Fiji">Fiji</option><option value="Kiribati">Kiribati</option><option value="Marshall Islands">Marshall Islands</option><option value="Micronesia">Micronesia</option><option value="Nauru">Nauru</option><option value="New Zealand">New Zealand</option><option value="Palau">Palau</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Samoa">Samoa</option><option value="Solomon Islands">Solomon Islands</option><option value="Tonga">Tonga</option><option value="Tuvalu">Tuvalu</option><option value="Vanuatu">Vanuatu</option></optgroup><optgroup label="Africa"><option value="Algeria">Algeria</option><option value="Angola">Angola</option><option value="Benin">Benin</option><option value="Botswana">Botswana</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cameroon">Cameroon</option><option value="Cape Verde">Cape Verde</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Comoros">Comoros</option><option value="Democratic Republic of the Congo">Democratic Republic of the Congo</option><option value="Republic of the Congo">Republic of the Congo</option><option value="Djibouti">Djibouti</option><option value="Egypt">Egypt</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Ethiopia">Ethiopia</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Kenya">Kenya</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Mali">Mali</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Namibia">Namibia</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Rwanda">Rwanda</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Senegal">Senegal</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="Sudan">Sudan</option><option value="Swaziland">Swaziland</option><option value="United Republic of Tanzania">United Republic of Tanzania</option><option value="Togo">Togo</option><option value="Tunisia">Tunisia</option><option value="Uganda">Uganda</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></optgroup></select> <label for="element_13" class="emf-bottom-label">Country / Region</label> </span> <div class="emf-clear"></div> </div></div> <div class="emf-clear"></div> </li><li id="emf-li-14" class="emf-li-field emf-field-number data_container "> <label class="emf-label-desc" for="element_14">Account Number</label> <div class="emf-div-field"><input id="element_14" name="element_14" class="validate[optional,custom[extNumber]]" value="" size="30" type="text"/><div class="emf-div-instruction">Please enter your existing account number here if known.</div></div> <div class="emf-clear"></div> </li><li id="emf-li-15" class="emf-li-field emf-field-section_break cell_align_left"> <div class="emf-div-field-section"><div class="emf-section-separator"></div> <h3 id="element_15" name="element_15">New Delivery Address &amp; Contact Information</h3><div class="emf-section-text">* Your contact information - address, phone, email is used for internal purposes only. Pamplin Media Group does not sell or distribute your information. Please re-enter your phone and email information, even if it has not changed.</div></div> <div class="emf-clear"></div> </li><li id="emf-li-16" class="emf-li-field emf-field-new_name data_container cell_align_left"> <label class="emf-label-desc" for="element_16">Name <span>*</span></label> <div class="emf-div-field"><span style="width:100px"> <input class="validate[required]" style="width:100%" value="" id="element_18" name="element_18" type="text"/> <label for="element_18" class="emf-bottom-label emf-text-center">First</label> </span><span style="width:100px"> <input class="validate[required]" style="width:100%" value="" id="element_19" name="element_19" type="text"/> <label for="element_19" class="emf-bottom-label emf-text-center">Last</label> </span></div> <div class="emf-clear"></div> </li><li id="emf-li-21" class="emf-li-field emf-field-new_address data_container cell_align_left"> <label class="emf-label-desc" for="element_21">Address <span>*</span></label> <div class="emf-div-field"> <div style="width:99%;"> <span class="emf-full emf-field-new_address-addr1"> <input type="text" value="" id="element_22" name="element_22" class="emf-full validate[required]"/> <label for="element_22" class="emf-bottom-label">Street Address</label> </span> <span class="emf-left emf-half emf-field-new_address-city"> <input type="text" value="" id="element_24" name="element_24" class="emf-full validate[required]"/> <label for="element_24" class="emf-bottom-label">City</label> </span> <span class="emf-right emf-half emf-field-new_address-state"> <input type="text" value="" id="element_25" name="element_25" class="emf-full validate[required]"/> <label for="element_25" class="emf-bottom-label">State / Province / Region</label> </span> <span class="emf-left emf-half emf-field-new_address-zipcode"> <input type="text" value="" id="element_26" name="element_26" class="emf-full validate[required]"/> <label for="element_26" class="emf-bottom-label">Postal / Zip Code</label> </span> <span class="emf-right emf-half emf-field-new_address-country"> <select id="element_27" name="element_27" class="emf-address validate[required]"> <option value="">&nbsp;</option><optgroup label="North America"><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Aruba">Aruba</option><option value="Bahamas">Bahamas</option><option value="Barbados">Barbados</option><option value="Belize">Belize</option><option value="Canada">Canada</option><option value="Cayman Islands">Cayman Islands</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cuba">Cuba</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="El Salvador">El Salvador</option><option value="Grenada">Grenada</option><option value="Guatemala">Guatemala</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Jamaica">Jamaica</option><option value="Mexico">Mexico</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="Nicaragua">Nicaragua</option><option value="Panama ">Panama </option><option value="Puerto Rico ">Puerto Rico </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="Trinidad and Tobago">Trinidad and Tobago</option><option value="United States" selected="selected">United States</option></optgroup><optgroup label="South America"><option value="Argentina">Argentina</option><option value="Bolivia">Bolivia</option><option value="Brazil">Brazil</option><option value="Chile">Chile</option><option value="Colombia">Colombia</option><option value="Ecuador">Ecuador</option><option value="Guyana">Guyana</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Suriname">Suriname</option><option value="Uruguay">Uruguay</option><option value="Venezuela">Venezuela</option></optgroup><optgroup label="Europe"><option value="Albania">Albania</option><option value="Andorra">Andorra</option><option value="Armenia">Armenia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Bulgaria">Bulgaria</option><option value="Croatia">Croatia</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Estonia">Estonia</option><option value="Faroe Islands">Faroe Islands</option><option value="Finland">Finland</option><option value="France">France</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Greece">Greece</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="Ireland">Ireland</option><option value="Italy">Italy</option><option value="Kosovo">Kosovo</option><option value="Latvia">Latvia</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macedonia">Macedonia</option><option value="Malta">Malta</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Montenegro">Montenegro</option><option value="Netherlands">Netherlands</option><option value="Norway">Norway</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Romania">Romania</option><option value="San Marino">San Marino</option><option value="Serbia">Serbia</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Spain">Spain</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Ukraine">Ukraine</option><option value="United Kingdom">United Kingdom</option><option value="Vatican City">Vatican City</option></optgroup><optgroup label="Asia"><option value="锘緼fghanistan">锘緼fghanistan</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Bhutan">Bhutan</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Myanmar">Myanmar</option><option value="Cambodia">Cambodia</option><option value="China">China</option><option value="East Timor">East Timor</option><option value="Hong Kong">Hong Kong</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Israel">Israel</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Lebanon">Lebanon</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mongolia">Mongolia</option><option value="Nepal">Nepal</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palestine">Palestine</option><option value="Philippines">Philippines</option><option value="Qatar">Qatar</option><option value="Russia">Russia</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Singapore">Singapore</option><option value="Sri Lanka">Sri Lanka</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Thailand">Thailand</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="United Arab Emirates">United Arab Emirates</option><option value="Uzbekistan">Uzbekistan</option><option value="Vietnam">Vietnam</option><option value="Yemen">Yemen</option></optgroup><optgroup label="Oceania"><option value="Australia">Australia</option><option value="Fiji">Fiji</option><option value="Kiribati">Kiribati</option><option value="Marshall Islands">Marshall Islands</option><option value="Micronesia">Micronesia</option><option value="Nauru">Nauru</option><option value="New Zealand">New Zealand</option><option value="Palau">Palau</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Samoa">Samoa</option><option value="Solomon Islands">Solomon Islands</option><option value="Tonga">Tonga</option><option value="Tuvalu">Tuvalu</option><option value="Vanuatu">Vanuatu</option></optgroup><optgroup label="Africa"><option value="Algeria">Algeria</option><option value="Angola">Angola</option><option value="Benin">Benin</option><option value="Botswana">Botswana</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cameroon">Cameroon</option><option value="Cape Verde">Cape Verde</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Comoros">Comoros</option><option value="Democratic Republic of the Congo">Democratic Republic of the Congo</option><option value="Republic of the Congo">Republic of the Congo</option><option value="Djibouti">Djibouti</option><option value="Egypt">Egypt</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Ethiopia">Ethiopia</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Kenya">Kenya</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Mali">Mali</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Namibia">Namibia</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Rwanda">Rwanda</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Senegal">Senegal</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="Sudan">Sudan</option><option value="Swaziland">Swaziland</option><option value="United Republic of Tanzania">United Republic of Tanzania</option><option value="Togo">Togo</option><option value="Tunisia">Tunisia</option><option value="Uganda">Uganda</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></optgroup></select> <label for="element_27" class="emf-bottom-label">Country / Region</label> </span> <div class="emf-clear"></div> </div></div> <div class="emf-clear"></div> </li><li id="emf-li-28" class="emf-li-field emf-field-phone data_container cell_align_left"> <label class="emf-label-desc" for="element_28">Phone <span>*</span></label> <div class="emf-div-field"> <span> <input maxlength="3" value="" id="element_28_1" name="element_28[]" type="text" class="emf-input-w30 validate[required,custom[onlyNumber],length[3,3]]"/> <label for="element_28_1" class="emf-bottom-label">###</label> </span><span class="emf-sep">-</span><span> <input maxlength="3" value="" id="element_28_2" name="element_28[]" type="text" class="emf-input-w30 validate[required,custom[onlyNumber],length[3,3]]"/> <label for="element_28_2" class="emf-bottom-label">###</label> </span><span class="emf-sep">-</span><span> <input maxlength="4" value="" id="element_28_3" name="element_28[]" type="text" class="emf-input-w40 validate[required,custom[onlyNumber],length[4,4]]"/> <label for="element_28_3" class="emf-bottom-label">####</label> </span></div> <div class="emf-clear"></div> </li><li id="emf-li-29" class="emf-li-field emf-field-email data_container cell_align_left"> <label class="emf-label-desc" for="element_29">Email <span>*</span></label> <div class="emf-div-field"><input id="element_29" name="element_29" class="validate[required,custom[email]]" value="" size="30" type="text"/></div> <div class="emf-clear"></div> </li><li id="emf-li-30" class="emf-li-field emf-field-section_break cell_align_left"> <div class="emf-div-field-section"><div class="emf-section-separator"></div> <h3 id="element_30" name="element_30">Comments (optional)</h3></div> <div class="emf-clear"></div> </li><li id="emf-li-31" class="emf-li-field emf-field-textarea data_container cell_align_left"> <label class="emf-label-desc" for="element_31">Enter comments here:</label> <div class="emf-div-field"><textarea id="element_31" name="element_31" cols="45" rows="6" class="validate[optional]"></textarea></div> <div class="emf-clear"></div> </li><li id="emf-li-32" class="emf-li-field emf-field-section_break cell_align_left"> <div class="emf-div-field-section"><div class="emf-section-separator"></div> <h3 id="element_32" name="element_32">Delivery Information</h3><div class="emf-section-text">Please allow up to 7-10 business days for your change of address request to take effect. Thank you from the Pamplin Media Group family of publications, Oregon's largest source of community news!<br/> <br/> <font color="red"><strong>Have a question?</strong></font> If you have any questions about our subscription form that you need clarification on, please call: <strong>503-620-9797</strong> - or Email: <strong>circulation@commnewspapers.com</strong></div></div> <div class="emf-clear"></div> </li> <li id="emf-li-post-button" class="middle"> <input value="Submit Change of Address" type="submit" onmouseover="return true;"/> </li> </ul> <input name="element_counts" value="33" type="hidden"/> <input name="embed" value="form" type="hidden"/> </form> </div><img id="emf-form-shadows" src="//web.archive.org/web/20170203214329im_/https://assets.emailmeform.com/images/themes/bottom.png?RU1GLTAyLTI5"></div> <script type="text/javascript" src="https://web.archive.org/web/20170203214329js_/https://ajax.googleapis.com/ajax/libs/jquery/1.8.3/jquery.min.js"></script> <script type="text/javascript"> if (typeof jQuery == 'undefined'){ document.write(unescape("%3Cscript src='https://web.archive.org/web/20170203214329/https://www.emailmeform.com/builder/js/jquery-1.8.3.min.js' type='text/javascript'%3E%3C/script%3E")); } </script> <script type="text/javascript" src="https://web.archive.org/web/20170203214329js_/https://ajax.googleapis.com/ajax/libs/jqueryui/1.7.2/jquery-ui.min.js"></script> <script type="text/javascript"> if (typeof $.ui == 'undefined'){ document.write(unescape("%3Cscript src='https://web.archive.org/web/20170203214329/https://www.emailmeform.com/builder/js/jquery-ui-1.7.2.custom.min.js' type='text/javascript'%3E%3C/script%3E")); } </script> <script type="text/javascript" src="//web.archive.org/web/20170203214329js_/https://assets.emailmeform.com/js/dynamic.php?t=post&amp;t2=1&amp;use_CDN=true&amp;language=en&amp;language_id=0&amp;referer_domain=http%3A%2F%2Fwww.emailmeform.com%2F&amp;RU1GLTAyLTI5"></script> <script type="text/javascript"> EMF_jQuery(window).load(function(){ post_message_for_frame_height("YdR68lFeTA9"); }); EMF_jQuery(function(){ bind_auto_cursor(EMF_jQuery('#emf-li-28 input[type=text]')); ; EMF_jQuery("#emf-form").validationEngine({ validationEventTriggers:"blur", scroll:true }); prevent_duplicate_submission(EMF_jQuery("#emf-form")); $("input[emf_mask_input=true]").dPassword(); if(EMF_jQuery('#captcha_image').length>0){ on_captcha_image_load(); } EMF_jQuery('.emf-field-grid td').click(function(event){ // if(!event.target.tagName || event.target.tagName.toLowerCase()!='td') return; EMF_jQuery(this).find('input[type=checkbox],input[type=radio]').click(); }); EMF_jQuery('input[type=checkbox],input[type=radio]').click(function(event){ event.stopPropagation(); }); EMF_jQuery("#emf-form ul li").mousedown(highlight_field_on_mousedown); EMF_jQuery("#emf-form ul li input, #emf-form ul li textarea, #emf-form ul li select").focus(highlight_field_on_focus); var form_obj=EMF_jQuery("#emf-container form"); if(form_obj.length>0 && form_obj.attr('action').indexOf('#')==-1 && window.location.hash){ form_obj.attr('action', form_obj.attr('action')+window.location.hash); } init_rules(); enable_session_when_cookie_disabled(); detect_unsupported_browser(); randomize_field_content(); }); var emf_widgets={text : function(index){ return $("#element_"+index).val(); } ,number : function(index){ return $("#element_"+index).val(); } ,textarea : function(index){ return $("#element_"+index).val(); } ,new_checkbox : function(index){ var arr=new Array(); $("input[name='element_"+index+"[]']:checked").each(function(){ arr[arr.length]=this.value; }); var result=arr.join(", "); return result; } ,radio : function(index){ var result=""; $("input[name=element_"+index+"]:checked").each(function(){ result=this.value; }); return result; } ,select : function(index){ return $("#element_"+index).val(); } ,email : function(index){ return $("#element_"+index).val(); } ,phone : function(index){ var arr=new Array(); $("input[id^=element_"+index+"_]").each(function(){ arr[arr.length]=this.value; }); var result=""; if(arr.length>0){ result=arr.join("-"); }else{ result=$("#element_"+index).val(); } return result; } ,datetime : function(index){ var result=""; var date_part=""; if($("#element_"+index+"_year").length==1){ date_part=$("#element_"+index+"_year-mm").val()+"/"+$("#element_"+index+"_year-dd").val()+"/"+$("#element_"+index+"_year").val(); } var time_part=""; if($("#element_"+index+"_hour").length==1){ time_part=$("#element_"+index+"_hour").val()+":"+$("#element_"+index+"_minute").val()+" "+$("#element_"+index+"_ampm").val(); } if(date_part && time_part){ result=date_part+" "+time_part; }else{ result=date_part ? 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