Advantage Publishing Services
1200 Mein Mitchell Rd Hiram GA 30141 - Fax: 678-838-7487
Print this Easy Order Form and use to Fax or mail your order

Name:
Address 1: *
Address 2:
City:

    State:    Zip:
Country:
Permanent Email Address: (required for email delivery)
Phone:

* For credit card orders, please provide your billing address where you receive your credit card statements.

IMPORTANT: PLEASE MAKE YOUR 4 SELECTIONS BELOW
Quantity (Circle One): 150 names      - $28.00
 200 names      - $32.00
 250 names      - $36.00
500 names      - $45.00
750 names      - $64.00
1,000 names   - $84.00
2,000 names   - $154.00
5,000 names   - $373.00
10,000 names - $710.00
20,000 names - $1,350.00
30,000 names - $2,300.00

Format/Delivery (Circle One):		 Pressure sensitive (peel-n-stick) labels
Plain computer paper (8.5 x 11)
3.5 inch floppy Disk (ascii comma delimited format)
Send order by Email (Permanent traceable email address required)
Sort Order (Circle One): Random zip-codes   or    Zip-code order

Payment Method (Circle One):

  Credit Card                 Check                     Money Order     
Credit Card #: Expiration MM Year   Sec Num:_______
List Price:  
Shipping:   (Only add if order to be shipped by postal mail)
GA Sales Tax:   (Multiply List Price by .07 if resident of GA)
Total Price:   Total = List Price + Shipping + GA Sales Tax
 

 

 

 

 

 Telephone: 770-942-9999 Fax: 678-838-7487

 

 

 

Four ways to order your list now

Order Online - Go to: http://www.leadLists.com/ordernow.html.
Order by fax - Print this form and fax completed form to: 1-678-838-7487.
Order by mail - Print and mail completed form & money order payable to APS.
 Order with PayPal - Click here to order using PayPal.

Send your completed mail-in form and payment to:

Advantage Publishing Services
1200 Mein Mitchell Rd
Hiram, Ga. 30141

Most orders shipped within 24 hours after your order is received.
Names are sold for one-time use only & may not be duplicated, copied or resold by any means.
Georgia State residents are subject to 7% sales tax.

This order form is available for printing at:
http://www.LeadLists.com/mail2.html