Letter Sample & Activation Form

BROKERAGE CHANGE LETTER ORDER FORM

1. Choose Quantity:

3. Personalization:

Letter Pricing (Includes print, postage, mailing)

Company: Address: City/Prov/PC: Phone: Email: Website: Name:

Order

Per Piece Price*

Quantity

100 – 400 $1.44 401 – 700 $1.31 701+ $1.16

Subtotal:

*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: marlene@dmsmarketing.ca . 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 marlene@dmsmarketing.ca