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General Information

Contact Name:		Title:

Publishing Company:

Address:

City, State & Zip Code:

Phone:		Fax:

Email:		Website:

Name of Publication(s):

Frequency(s):

Number of records on file:		Audit Status:

Describe Current Methods of Acquiring Subscribers:

Describe Maturity level of file and future Subscription acquisition plans/programs:

Average annual number of customer service calls:

Is 800 Customer Service line used? Yes No

Will PDMG host your web order pages? Yes No

Lettershop Information

Number of Renewal efforts sent:

Number of billing efforts sent:

Mail To:
Bill Coffman
201 N 3rd Street
Suite 126
Oregon, IL 61061

Also, if you could please mail us the following for our files: