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Bulk Mail Request Form
Dept No.:
Department:
Billing No.:
Sender's Email:
Contact:
Phone No.:
Title of Mailing:
Program #:
Rush
(time & 1/2 out day following check-in)
Opt out of Rush
(If job will go out in a day or two later anyway)
Type of Mailing:
Self-Mailer
Letter
Envelope
Flat
Standard Services:
Ink Jet Addressing
Tie and Mail Only
Machine Inserting (Identify Inserts)
Please write the name of all inserts in their proper order:
Inserts:
Automated Mailings:
Compact disk (CD)
E-Mail (Put name of Program in subject line of e-mail)
Complete for Automated Mailings Only
Specify file name and file format:
Automation Services:
Duplicate Detection (Do not "estimate" when determining number of mail pieces to be printed)
Ink Jet Fixed Message Items (Specify return address/ indicia/ endorsements/etc.)
Foreign Mail Addressing of Customer Supplied Envelopes
Other (Please specify)
Other Automation Services:
Mail Date:
mm/dd/yy
# of Addresses Provided:
# of Pieces Provided:
(Note: Number of pieces printed must be higher than number of addresses provided.
Additional Information and Instructions:
