Mailing List Rental Order Form

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Please complete the following information:
SHIP LIST TO:

First name * 

Last name * 

Company Name

Address * 

Address (cont.)  

City * 

State/Province * 

Zip/Postal code * 

Country * 

Work Phone * 

FAX * 

E-mail * 

 
Select the mailing list you wish to order
(please note: these are the only selections available):

AACE Members & Conference Attendees --

U.S. only (approximately 4,250) $595
U.S. & Canada (approximately 4,500) $695
U.S. & All Other Countries (approximately 7,000) $895
 

All orders are sent on IBM compatible disk, ASCII comma delimited text format.

Comments:

Please select a Payment Method:

   Check (Make check payable to AACE); 
       Check #:

   MasterCard      VISA   (sorry, no others accepted)
       Credit Card #:
       Exp. Date:

       Credit Card Holder's Name:

    Total Amount: $ 

By agreeing below, the list renter agrees not to use this list more than once nor to incorporate this list into their own database.  Renter also agrees that this order is placed on a reciprocal rental basis, should AACE wish to mail to renter's customer list at a future date. All lists are seeded. 

First Name   
Last Name   
Date

    

Please note, this order will be processed when payment is received by AACE.  Thank  you!

You may also send this form via:

FAX (credit card orders only):
AACE, Attn: Business Office, 703-997-8760

or Mail:
AACE, Attn: Business Office, PO Box 1545, Chesapeake, VA 23327-1545


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