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Name:
Company:
E-Mail : (you@yourcompany.com)
Phone: (XXX-XXX-XXXX)
UMS Account Manager: (Leave blank if not known)



Type of piece: Selfmailer #10 6" x 9" 9" x 12" Other:
Size of piece: Letter Flat
Postcard
(4.25" x 6" max.)
 Other:
Number of Inserts:



Job Name:
Estimated Quantity:
Postage Class:

Postage Method:
Permit/Indicia
Meter
Stamp
 Don't Know

Projected Mail Date: (MM/DD/YYYY)
Stock Due Date: (MM/DD/YYYY)

Match Mailing: 2x 3x Other
International Mail: Canadian Foreign Service Provider:



Please Select All That Apply...
Data Type(s): 3480/9 track tape(s) CD-ROM/Zip Disks Re-Use E-Mail FTP
Number of Lists:
Data Due Date: (MM/DD/YYYY)
Source Codes: Yes No
Address Method: Laser Inkjet Labels Font Selection:
Merge/Purge: Suppression Business Residential One Per Home Rank Lists

Comments or Additional Instructions:




Type of Inserts:
(i.e. Brochure, buckslip, BRE,
Letter, CD-ROM, Lift Note,
etc...)
1.
2.
3.
4.
5.
6.
Materials to Address:

Select all that apply:

 Self Mailers
 Post Cards
 Brochures
 Magazines
 Catalogs
 Envelopes
 Other:

 Letter to Envelope Matching
(Applicable only when matching
interior contents with exterior
addresses.)

 Collating

 Nesting

Custom Hand



Please Select all that apply:
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