Need to contact us? If you would like direct marketing information or just general information, you may use the attached form to contact us and someone will respond to you the next business day.  Or, you may reach us by phone at 800-404-1900.

* = required field   
Organization: *
Person responsible for fund drive: *
Title:
Street Address:
City:
State:
Zip Code:
How many addresses do you service?: *
Organization Phone: *    Ext:
Your Phone: *
Fax:
E-mail Address: *
Secondary contact person:
Title:
Other Information
Do you currently use direct mail for your fund drive?
 Yes   No

If Yes...

Does your organization use volunteers for the mailing?
 Yes   No

How many times per year do you mail?


In what months is/are your appeal(s) mailed?

In what year was your organization started?
About how much money does your appeal generate?
Does your service area have any special needs?
 Yes   No

If so, what are they? Check all that apply:
Air Meters
Stock Packs
Training
New Equipment
Other:  
Comments:
    
300 N. Midland Ave., Suite 2, Saddle Brook, NJ  07663-5723 • 800.404.1900
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