Mailing List Request Form
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1Mailing List Requirements
-A sample of the mailing piece must accompany all
Mailing List Request Form
orders and be approved by the AWRA Executive Vice
President
Please check all that apply:
-The mailing piece must be of professional use or interest
to AWRA members
Member Types
Geographical Area(s)
-Mailing labels are for ONE TIME USE only, and may not
! Regular
! Corporate
! U.S.
! Specific States:
be published or duplicated in any way
! Recent Grad
! Institutional
! Canada
___, ___, ___, ___
-Costs are determined by the status (for-profit or not-for-
! Student
! JAWRA subscriber
! Overseas
___, ___, ___, ___
profit) of the purchaser, and not based on the end user.
! Retired
! IMPACT subscriber
! All of Above
List brokers will not receive the not-for-profit rate.
-AWRA does not rent member telephone, fax, or email
information
How would you like the list sorted?
Please select the data format:
-Mailing lists are only sent electronically
! By Zip Code
! Alphabetically
! Ascii Tab Delimited
! Ascii Comma Delimited
Standard Costs
! dBase 2-4
Computer Set-up Fee
$60.00
Please send mailing list to this email address:
Not-for-profit Organization
$90.00/M
Minimum Order $100.00
________________________________
PO ________________#
PO Attached? ___ Yes ___ No
For-profit Organization
$150.00/M
Minimum Order $150.00
Bill to:
Mailing List Quantities as of May 8, 2001
________________________________
List needed by:
Member Type
US
Canada
Overseas Total
________________________________
(mm/dd/yy) ___/___/___
Regular
2130
39
107
2276
________________________________
Recent Grad
59
0
4
62
Student
295
4
4
303
Retired
20
0
0
29
Corporate
52
0
4
56
I understand that this mailing list is for one time use only.
Institutional
111
3
8
122
Total Members
2667
46
127
2848
Signature__________________________________ Date__________________________
JAWRA
532
45
147
724
Name of Organization________________________ Phone Number __________________
Subscribers
IMPACT
64
2
5
71
If you represent a not-for-profit, indicate which type: ! 501 (c)(3) ! 501 (c)(6)
Subscribers
Total List
3263
93
279
3643
AWRA will send your invoice to the “Bill To” name and address. Please note that we do not offer brokers’
discounts. We appreciate your business!
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Parent category: Business