Please fill in all areas that apply.  Include any special instructions or additional detail in the space provided at the end of the form. 

Some steps may require you to forward supplemental documentation to complete the order. 

Please be sure to include a unique P.O. number (or other identification number) on each order so that we may reference it correctly when corresponding with you.

CUSTOMER/JOB INFORMATION:

Company
Name
Address
City/St/Zip
Phone
Fax
E-Mail
Billing Ref. or P.O.
Job/Project Name
SHIPPING INFORMATION:
UPS GroundUPS Next-DayUPS 2nd DayFed-x AMFed-x Next DayFed-x 2nd dayFed-x 3rd dayPriority MailOther
Ship-to Info (if different):
Company
Name
Address
City/St/Zip
Special package marking instructions
INPUT FILES (send layouts with all files shipped):
Total number of input files
Total number of input records
Media	Tape (9-track)Diskette3480/90 CartCD-RomFTP TransferEmail
Code	EBCDICASCII
Format	Fixed-field text fileComma-delim text fileDBF fileACCESS fileEXCEL fileMAC formatOther

PROCESSING INSTRUCTIONS (check all services needed):
File conversion (include special instructions)
Zip+4(CASS) 
Barcode 
Carrier rte 
Line-of-travel
Presort Qual 
1st Class 
Standard Class 
Merge/purge 
Consumer 
Business 
Mixed
Options: (hold CTRL key down to select multiples)
One-per individualOne-per-house/businessUse suppression fileDrop foreign recordsDrop no-address recordsDrop no-company recordsDrop no-name records

List Enhancement:
(hold CTRL key down to select multiples)
GenderCountyMSALatitude/longitudePhoneSales EmployeesIncomeSIC CodeReverse Phone Append

NCOA 
Include Nixies
Database Matching (use special instructions, below)

OUTPUT ORDER INSTRUCTIONS:
Use masterfile(s): 
Remove dupes (usually needed if combining lists)
Select Criteria:

Nth name select 
Stop at max recs 
Insert keycode 
Suppress Priors: 
Sort Criteria: 

Tape Output: 
9-track 62509-track 16003480 Cartridge3490 Cartridge3490e CartridgeEBCDICASCIIStandard labelsNo labels

Diskette output: 
ASCII comma-delimited textASCII fixed-field textDBFACCESSEXCELMAC comma-delim formatMAC fixed-field format

CD-ROM output: 
ASCII comma-delimited textASCII fixed-field textDBFACCESSEXCEL

FTP/E-mail xfer: 
ASCII comma-delimited textASCII fixed-field textDBFACCESSEXCEL
E-mail addr: 

Labels: 
Cheshire - 4upPressure sensitive - 4upPressure sensitive - 1upShipping labels 3x5Index cards 3x5All upper-caseUpper/lower case
Print barcodes (requires zip+4)
Print endorsement line (requires presort)
Slug title: 

Listings: 
1-line galley format2-line galley formatGreen-bar, 11"x14"Cut-sheet laser 8"x11"
Title:

Stat Reports: (hold CTRL key down to select multiples)   Title:
Code countsState countsZip countsSCF countsCross-tab (x vs. y)
 
SPECIAL INSTRUCTIONS: