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Mailing Services Form

Note: Fields marked * are required.

Customer: *

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Contact Name: *

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Phone:

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Fax:

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Your Email *

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Street Address:

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City:

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State:

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Zip Code:

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Type of Mailer:

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Qnty #:

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Qnty #:

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Qnty #:

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If Other, please specify:

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Size of Mailer:

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Number of Inserts, if inserted:

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Database Provided:



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If no, type of Database(s) requested:





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Special Instructions on Database (If Any):

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Mail Merge or Personalization Required:

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Please Describe Scope:

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Hand Work or Assembly Required:

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If So, Please Elaborate:

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'Pick n' Pack' Fulfillment Required:

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If So, Please Elaborate:

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Additional Services Required:






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Other (If Any):

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Comments:

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