Date
CONTACT DATA:
Company Name
Address
City State Zip
Contact Name
Email Address (required)
Contact Phone # Ext
Fax #
Job P.O.#
JOB ITEMS NEEDED:
Design Print Mail Data/List Management Shipping/Order Fulfillment
MAIL SPECS:
Total Quantity to be Mailed
If Extras, Return Extras to
Class of Mail First Class (U.S. pieces) Presort Standard/Bulk Non-Profit Periodical Other
Postage Paid by Advance Postage Check Permit # Customer Deposit Acct.
Database Provided Via E-mail On disk Labels Other
Self Mailer/Post Card Envelope with inserts Other
Envelope Size #10 regular #10 window 6x9 9x12 10x13 A-2 or A-7 invitation Other Number of Inserts 1 2 3 4 5 6 7 8 9 10 11 12
Job Name
Job Description/Instructions
Materials Used for Job:
Printed Material Supplies/boxes/envelopes/etc Other
Materials Provided By:
Direct Response You Printer/Vendor Multiple Vendors
Please List All Materials Needed for Job
Printer or Vendor/Shipper Name
Need More Information? Call 859.254.1667 or 1.800.845.0140 and let one of our friendly customer service representatives answer your questions.
Direct Response , Inc | 157 Venture Court, Suite 4 | Lexington, KY 40511
