*Your Name:
*Your Company:
*Your Email Address:
*Your Phone Number:

Data Processing:
Number of Lists
List Format	Tape	Disk	Email
Address Correction	Yes	No
Merge-Purge	Yes	No
Data Entry	Yes	No
Postal Info:
MailClass	First Class Address Ad-mail Publication Other
Postage Type	Indicia Meter Live Stamp Other
Mail Coverage	National State Local International

Material Info:
Quantity
Type of piece	Self-mailer	Insert	Other
Finished Size
Paper Stock	Glossy		Matte
Irregular Fold	Yes		No
Folding Required	Yes		No
Type of fold	Roll-fold		Z-fold
Assembly Info:
Which piece will be addressed?
How Addressed	Cheshire labels Ink Jet Laser Printing Piggyback Labels Pressure Labels
Outside Envelope Size	Monarch #10 6x9 9x12 Other
Envelope flap On	Long side		Short side
Number of Inserts
Special Services	Bursting Nesting Tabbing Shrink Wrapping Poly Bagging Other None

Special Instructions:
Number of Versions
Staggered Mail Drops	Yes No
In-Home Date	Yes No
Please list Additional instructions below: