Account information

Name*:

Company*:

Telephone:

Fax:

Email*:

Address:

City:

State*:
statestatestate

Zip Code*:

Country*:
United StatesUnited StatesUnited States

Select the choice that best describes
your mailing practices.*

 Envelope with insert(s) Window envelope with insert(s) Envelope with MATCHING letter(s)/insert(s) Postcard Self-mailer Other - please specify below

What size is the item you are mailing*:

 #10 Standard envelope 6 x 9 6 x 9 9 x 12 (opens on 9 inch side) 9 x 12 (opens on 12 inch side) Postcard - Regular size Postcard - Oversized Other - please specify below (include height x width)

How many pieces will be inserted?*

0123456789

Describe each insert (select as many as you need):

 Single page Multi-page Buck-slip Flyer Newsletter Business reply envelope Business reply card Other (please describe)

If any of the inserts are smaller than 4 x 6,
please enter the height x width:

Are the inserts at least 1/2 inch shorter
in length than the outside envelope?

 Yes No

What is the quantity of the mailing
you wish us to quote?*

Quantity 1

Quantity 2

Quantity 3

Would you like us to provide you with a mailing list?
 Yes No

How many lists will you be using?

What type of addressing are you requesting?*

This is choice oneThis is choice oneThis is choice oneThis is choice oneThis is choice one

What is the approximate weight
of your complete mailing piece?

 Less than 1 ounce Less than 2 ounce Less than 3 ounce Less than 4 ounce Less than 5 ounce Less than 6 ounce Other - please specify below

Which way would you like the postage
to be applied?

 Preprinted permit (indicia) Metered Stamps You would like us to determine

How many times would you like to
mail this piece or similar pieces?

 Once Monthly Quarterly Annually Other - please specify below