Name:*

Title:

Company:

Address:

City:

State: - STATE - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

E-mail:*

Telephone:* ()   - 

FAX: ()   - 

Campaign Name:

Mail Date:

Quantity:

Mail Class:

Outer Type:

Insert 1:

Insert 2:

Insert 3:

Insert 4:

Will forms be provided or would you like EMS
to quote your printing needs?

We will Provide  EMS to Quote 

If EMS to quote, your rep will contact you for details.

Will you upload your data files to our secured FTP site or will EMS download from yours? Data tapes may also be received by EMS for processing. Any special DP needs (i.e. merge/purge, de-dupe, Nth select, NCOA)? If yes, please explain below:

Continuous form laser or ink jet? Laser  Ink 

If laser, simplex or duplex? Simplex  Duplex 

Any special ink/toner requirements? If yes, please explain below:

Any special folds or other bindery needs? If yes, please explain below:

Will this campaign mail via stamp, meter or indicia?

Stamp  Meter  Indicia 

If indicia, would you like to use our mailing permit or your own?
EMS can open one for you if you’d like.
EMS mailing permit   Your mailing permit  

Any special inserting or affixing needs? Please explain below:

Depending on the quantity, EMS will additionally process your finished mail for the most cost efficient form of delivery using our internal Co-palletization and/or EPOP service at no charge.

Remaining inventory counts will be supplied shortly after campaign completion.

Unless your campaign is ongoing, you will receive a request for remaining inventory disposition. We can warehouse, ship or discard your remaining inventory. In our ongoing environmental protection effort, and with client approval, EMS recycles all remaining unused campaign materials approved for discarding.

You will receive your stamped USPS receipts with your invoice or earlier via PDF at your request.