schooldata4postalmailings                          

                              MAIL ORDER FORM

      U.S. Public Schools/Districts - Select up to 20% of Universe
         (place an "X" next to the list you wish to purchase)

HIGH SCHOOLS w/PRINCIPAL by Name - Nationwide {max count = 3835}
  __Cheshire $155.00    __Pres-Sens $178.00    __3.5"IBM Disk $387.50

HIGH SCHOOLS w/JOB TITLE Address - Nationwide {max count = 3835}
  __Cheshire $115.00    __Pres-Sens $138.00    __3.5"IBM Disk $287.50


MIDDLE SCHOOLS w/PRINCIPAL by Name - Nationwide {max count = 4785}
  __Cheshire $175.00    __Pres-Sens $204.00    __3.5"IBM Disk $437.50  

MIDDLE SCHOOLS w/JOB TITLE Address - Nationwide {max count = 4785}
  __Cheshire $135.00    __Pres-Sens $164.00    __3.5"IBM Disk $337.50


ELEMENTARY SCHOOLS w/PRINCIPAL by Name - Nationwide {max count = 9913}
  __Cheshire $220.00    __Pres-Sens $280.00    __3.5"IBM Disk $550.00

ELEMENTARY SCHOOLS w/JOB TITLE Address - Nationwide {max count = 9913}
  __Cheshire $180.00    __Pres-Sens $240.00    __3.5"IBM Disk $450.00


ELEM/MID/HI SCHOOLS w/PRINCIPAL by Name - Nationwide {max count=15,580}
  __Cheshire $350.00    __Pres-Sens $445.00    __3.5"IBM Disk $875.00

ELEM/MID/HI SCHOOLS w/JOB TITLE Address - Nationwide {max count=15,580}
  __Cheshire $280.00    __Pres-Sens $375.00    __3.5"IBM Disk $700.00


SCHOOL DISTRICT OFFICES w/SUPERINTENDENT by Name - Ntw. {max count=2680}
  __Cheshire $135.00    __Pres-Sens $150.00    __3.5"IBM Disk $337.50

SCHOOL DISTRICT OFFICES w/JOB TITLE Address - Nationwide{max count=2680}
  __Cheshire $100.00    __Pres-Sens $115.00    __3.5"IBM Disk $250.00


***After placing an "X" next to the chosen list above, please specify:

    Locale (required)  __Urban    __Suburban    __Rural    __Any Locale

    School or District Size (required)    __Largest
                       __Upper Midrange   __Midrange   __Lower Midrange
                                          __Smallest   __Any Size

    Community Wealth (req'd)  __Highly Prosperous  __Somewhat Prosperous
                              __Not Prosperous     __Any Wealth Strata


    JOB TITLE (if chosen above) _________________________________________
                                          (34 characters max.)           


***OPTIONS: __KEYCODE=$15.00 __ __ __ __ __ __ __ __ __ __ (use A-Z; 0-9)

      LABELS only: __Bldg Phone  OR  __County Name  OR  __Enroll = $45.00
      (Disk orders incl Phone/County/Enrollment data at no extra charge)

      __ SPLITOUT list by Odd ZIPs/Even ZIPs = $35.00


TOTALS:  $________  List Price

       + $________  Options Selected Total 
       + $   15.00  Shipping (U.S. and Canada)

       = $________  GRAND TOTAL     ___ Payment Enclosed     ___ Bill me


Ship To: Name___________________________ Company_________________________

         Street__________________________________________________________

         City _________________________ State ____  ZIP _________-_______

         Phone ______-______-__________      FAX ______-______-__________
                               
         E-mail _________________________________________________________ 


Bill To: Name___________________________ Company_________________________

         Street__________________________________________________________

         City _________________________ State ____  ZIP _________-_______

         Phone ______-______-__________      FAX ______-______-__________

         E-mail _________________________________________________________


Other notes and instructions:  (indicate your desired list count here if 
                               less than the max count number given above)  

         ________________________________________________________________

         ________________________________________________________________

         ________________________________________________________________


Please sign here before you mail this Order Form!


   Name: __________________________________________ Date: _______________
          (signature required before order ships!)


Please make checks payable to "Gregory Wolfe"


Mail Address:  Gregory Wolfe     [ gregory@schooldata4postalmailings.com ]
               d/b/a schooldata4postalmailings      
               7755 E Quincy Ave Unit D1-204             
               Denver  CO  80237-2335    USA