NOTE: All fields are required information

  Date:         Name:  

  Phone Number:  

  Your Department:  

  Email Address:  

  I would like to:

       Schedule a Bulk Mailing  for processing on ,

                       Billed to budget # ,

                       # of pieces to be mailed ,

                       # of pieces provided ,

        YES / NO   Is this mailing for a FUND RAISER?           

            YES / NO Print, then return for stuffing.

            Bulk Mailing # , if this is a return stuffed bulk mailing

           Other Bulk Mail Service needed, please describe; 

              

      Operations Use: 
                              Mail Services Assignment  #_______________