Mail Order Mailing Lists

ORDER FORM

Please print this order form or copy/paste it to a new message in your email program.

Then simply mail it, email it, or fax it . . .

Mail: Bill Sjostrom, WGSC Publications 9629 Ripple Creek Drive Moreno Valley, CA 92557-1821

Email: BillSjostrom@wgsc.com

Fax: 951.924.8431

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Please Send Order  TO:

Name________________________________________________________
Address_____________________________________________________
City__________________________ State_______ Zip_____________
Email Address_______________________________________________
How Did You Find Us? _______________________________________

*Please check one of the following payment options:

Action Seekers Hot List

[ ]    250 names @ $ 29
[ ]    500 names @ $ 39
[ ]  1,000 names @ $ 69
[ ]  2,000 names @ $119
[ ]  5,000 names @ $249
[ ] 10,000 names @ $395

SUBTOTAL ORDER                        _____________

Printing On Labels
         $3 for first 1,000           _____________
         $1 for EACH added 1,000      _____________

On Diskette
         $5 per order in ASCII format _____________
         $5 per order in dBase format _____________

Shipping and handling
         $5                           _____________

CA Residents add 7.75% Sales Tax      _____________

TOTAL ORDER                           _____________

Amount Enclosed                       _____________

Notes______________________________________________
     ______________________________________________
     ______________________________________________

[ ] VISA [ ] MasterCard [ ] Money Order [ ] Check

Card Number ________________________________________________  
Expiration Date ____________
Signature __________________________________________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Note: All orders from outside continental U.S. please pay by money order, U.S. Funds, and $5 to regular S&H charges. Sorry no C.O.D's.

Back to Mail Order Mailing Lists

Please send WGSC your comments.