Contact Info
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Company
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Daytime Phone (required)
Areas of Interest
 

 Retention Services

 Acquisition Services

 Other Services

Desired Data Volume
Low End Budget
High End Budget
Time Frame for Campaign
How did you hear about us?
Retention

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What is the size of your database?

How many emails do you send to your database monthly?

How do you currently send your emails today?
Acquisition

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Select a List

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If there are any demographics or lifestyle information that would disqualify a lead, enter in the boxes below (i.e. debt, age, geo).
Disqualifier 1
Disqualifier 2
Disqualifier 3
General Data Selects
Click here to view other data selects and input your entries in the fields below. If you do not see a select, please use the fields marked "other."
   Name    Postal
   Email    Date and time stamp
Gender
Income
Geographic
Location 		Age
Ethnicity
Net worth
Religious Pref. Radius of Zip
Employment Status
Make of Vehicle
Political Pref. Marital Status
   Home owner    Home Value
   Property type    Length of Residence
   Presence of children    Age of Child Present
   Computer Owners    Education Level
   Mail Order Buyer    Magazine Subscriber
   Investors    Donors
Other Other
Other Business to Business Selects
SIC Code Personnel Title
Additional Title Industry
Number of Staff Years, in Business
Geographic
Location 		Annual Sales
Subsidiary Non-Subsidiary
Franchises Chains
Corporation Partnership
Sole Proprietorship Ticker Symbol
Other Other
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Comments or Details (tell the suppliers exactly what you want)