Order Form
We guarantee that every name we sell is deliverable. If you receive any undeliverables we will REFUND 50 CENTS for each of them, even if it's only one! This guarantee is in effect for 60 days from the date your order is shipped. Just return the entire front panel of each undeliverable piece to us, along with the original label, printout or disk, and we will promptly and cheerfully mail you your refund!
Name ____________________________________________________________________
Address ___________________________________________________________________
City, State, Zip ____________________________________________________________
Phone Number _____________________________________________________________
Please make your 3 selections:
Please select one:
| ___ 200 names - $15 | ___ 5,000 names - $150 |
| ___ 500 names - $25 | ___ 10,000 names - $250 |
| ___ 1,000 names - $40 | ___ 20,000 names - $480 |
| ___ 2,000 names - $70 | ___ 30,000 names - $690 |
Please select one:
___ Pressure-sensitive (peel-n-stick) labels
___ Plain computer paper
___ 3 1/2" Disk - ASCII (Standard comma-delimited text file)
Please select one:
___ Random zip-codes
___ Zip-code sorted (1,000 name minimum order for zip-sorted)
Names are sold for one-time use only & may not be copied, duplicated or resold by any means.
Enclosed is $___________
Payment: ___ Check / ___ Money Order / ___ Visa
/ ___ MasterCard
US funds only please. Canadian customers please add 5% shipping. Other
countries please add 20%.
Please print clearly:
My Card # is __________________________________________________ Expiration Date _______________
Cardholder name printed _________________________________________ Signature _______________________________
Mail this form with your credit card information or check/money
order payable to:
Paul C Wilson
P.O. Box 26418-F729, Tamarac, FL 33320
or FAX your credit card order to: (954) 334-0996
To learn more, go to: