ListGuy Order Form

Order Form
Print this form and mail or fax it in.

Or download an MS Word doc Order Form here.

Or an online MS Word doc Order Form here.


What kind of list are you ordering?
(Please check all that apply)

Direct Mail (Postal Addresses)
Telemarketing (Phone Numbers)
Fax List (Fax Numbers)
Email List (Email addresses)

Type of List You Are Ordering.
Businesses
Consumers
MLM / Opportunity Seekers / Network Marketers


Describe the Products or Services you are ordering.


If necessary, give examples of who you need to reach

(SIC Codes, Business Types or Web site addresses)

Which geographic region would you like to target?
Ex: City, Metro Area, Zip, SCF (1st 3 of Zip), Area Code, State

Your Name  
Address      
City            
State/Prov  
Zip Code    
Country      
Phone           
Fax               
Email Addr  


Payment Info

Pay by Check

Make payable to "The List Guy". Then either:

1. Mail this form and check to: 5249 Wandering Drive, Anchorage, Alaska 99502 or
2. Fax this form along with completed check to 760-454-2738 "New paradigms

PAYPAL

Get $5 FREE just for signing up!! Sign up now and get $5

Our account: info@listguy.com


Referral Info
 

How did you hear about us?
    Specifically  
 




Phone Anytime: 760-720-3941

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