Name:
(required)
Company:
(required)
Title:
Address:
(required)
 
City:
(required)
State:
(required)
Zip:
(required)
Phone:
(required)
Fax:
Email:
    Can we communicate with you via email?
 
Where did you hear about us?
How many pieces to be mailed?  
Target mail date?  
What type of piece will you be mailing?
What is the purpose of this mailing?
Project Description (Optional)     
 
How will you be providing your mailing list?
No. of list?
Will this mailing include international locations? If so, how many?
Will this list need to be checked for duplication? Yes: No:
Will this mailing include variable data? Yes: No:
Will this mailing include personalized document? Yes: No:
 
Card Size (if applicable)  
Self-Mailer Size (if applicable)
Needs wafer seal?   Yes: No:
Other  
Envelope Type

 Please describe each insert
( From front to back )

 Type
Size
 Personalized
 Needs Folding
x x Y N Y N
x x Y N Y N
x x Y N Y N
x x Y N Y N
x x Y N Y N
x x Y N Y N
 
Shipping required? Yes: No:
Will there be multiple packages for single location? Yes: No:
USPS Class of Mailing
Special Services (Optional)
Other Carrier
How will the postage be affixed?
 
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