Order Form

List selections:			Quantity
M&C House List:
	Random names — $165/M
	Buyers only — $175/M
	Inquirers only — $155/M
	Compiled list — $90/M
	Full list — House and Compiled — $125/M
	Key code on list	Code
	A/B split on above selections
	Key code on A/B split	A -
		B -
	SCF Selects*	* You will be contacted for your specific selects
	State selection*	* You will be contacted for your specific selects


List format:
	Peel and stick labels
	Disk
	E-mail
	enter e-mail address

Sample Mail Piece Required
(Rough draft acceptable)
You may FAX your sample mail piece if you like.
FAX (360) 679-4167
Or e-mail it to: kim@cpahotlist.com

Contact Information

* indicates a required field

* Contact Name:
* Company Name:
* Phone:
Extension:
* E-mail:

* Date you want mailing list:
* Your mailing date:

Comments

Please use this area for your comments or questions.

List rental terms and conditions.

Please type the word that appears in the image above.
*Verify:	(Reload the image if you can't read it.)

Kim Seldal — In-house List Manager
Mostad & Christensen, Inc.
PO Box 1709
Oak Harbor, WA 98277
TEL: 800-654-1654
FAX 360-679-4167
E-mail: kim@cpahotlist.com