Data Processing and Mailing

If you need help filling out this form, call us at 1-212-921-4521.
If you select "other" as an option or want several options,
please include the description(s) in the "Additional Information" box.

Company Name:		Name of Contact:
Address Line 1:		Address Line 2:
City:		State:
Zip Code:		Country:
Phone Number:		Fax Number:
Email Address:		Type of Business:

What will we be mailing?

Total Quantity(ies):
Number of Versions:

Mailing

What Changes Between Versions?

Size of Mail Package or
Catalog/Booklet:

Number of Inserts?

What will be addressed?

How will postage be paid?

How will you mail?

If a continuous form is supplied,
What size is the final trimmed piece?

How is it delivered to us?

Does it need to be folded? Yes No To what size?

Does anything need to be affixed?

Will this be a matched mailing? No Yes How many pieces? Anything else?

Additional Information:

Data Processing

Merge/Purge:

How many input files?

How many Suppression files?

Will we do NCOA? Yes No

Will we do Presort? Yes No

Will you Drop Ship? Yes No

Will we personalize a form? Yes No Size for one name?

More than one? Yes No Size for one name?

More than two? Yes No Size for one name?

How will we personalize?

Additional Information:

THE HORAH GROUP
351 Manville Rd, #105
Pleasantville, NY 10570.
914-495-3200
dgoldsmith@horah.com
www.horah.com

What will we be mailing?
Total Quantity(ies):		Number of Versions:
Mailing
What Changes Between Versions?

Size of Mail Package or Catalog/Booklet:
Number of Inserts?
What will be addressed?
How will postage be paid?
How will you mail?
If a continuous form is supplied, What size is the final trimmed piece?
How is it delivered to us?
Does it need to be folded?	Yes No To what size?
Does anything need to be affixed?
Will this be a matched mailing?	No Yes How many pieces? Anything else?

Merge/Purge:
How many input files?
How many Suppression files?
Will we do NCOA?	Yes No
Will we do Presort?	Yes No
Will you Drop Ship?	Yes No
Will we personalize a form?	Yes No Size for one name?
More than one?	Yes No Size for one name?
More than two?	Yes No Size for one name?
How will we personalize?
Additional Information: