Letter Sample & Activation Form
BROKERAGE CHANGE LETTER ORDER FORM
1. Choose Quantity:
Letter Pricing (Includes print, postage, mailing)
Company: Address: City/Prov/PC: Phone: Email: Website: Name:
Per Piece Price*
100 – 400 $1.44 401 – 700 $1.31 701+ $1.16
*applicable taxes extra
ORDER DEADLINE SEPTEMBER 29, 2017
MAIL DATE OCTOBER 6, 2017
4. Mailing List:
Mailing List to follow
2. Letter Preview:
Please supply mailing list in Excel or CSV format to: email@example.com . Mailing list is due September 29.
A note on privacy & security: All information is safeguarded. We do not sell, lend or transfer your client information in any way, shape or form to anyone else, at any time.
5. Method Of Payment: I authorize DMS Marketing to use this credit card for payment of this order. Payment will be processed upon receipt.
Bill to credit card below Mastercard Visa
Card Number Expiry Date Cardholder Name Signature Date
phone 780.489.2969 toll free 1.800.309.1747 website www.dmsmarketing.ca fax order to 780.486.1421 or email to firstname.lastname@example.org
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