DASHER, INC - Project Request Form

Project Request Form

*Please do not use this form for quote requests. Click here to contact Dasher regarding a quote.

Complete the form below for job requests and click the submit button when finished.
Fields marked with an * are required.

Contact Information
*Contact Name:
*Company:
*Job Name:
Mail Date Requested:
*Phone:
FAX:
*Email Address:

Pick Up & Delivery Services

Is Dasher picking up materials?

Yes No

If Yes:
Where:
When:
Piece count of each item picked up:
# of boxes:

Is printer/client delivering materials?

Yes No

If Yes:
Delivery Date:
Piece count of each item delivered:

Leftover Materials
Recycle	Dasher delivers
Client pick-up	Ship

Data/List Services

Data File Information
Email	Disk/CD
Upload at DasherInc.com	List maintained at Dasher
Ordered through Dasher	Client Supplied Labels

Number of lists:

Merge Multiple Lists?

Yes No

Total Records:

Data File Processing
Additions	Deletions	Changes

Purging
Click here for Purging Explanation

Delete Duplicates from File?

Yes No

One Per Household

One Per Person

If there are Canadian addresses in the file, do you want to mail them?

Yes No

If there are Foreign addresses in the file, do you want to mail them?

Yes No

Premium NCOA (Move Update) Services (Includes full file return and report)

Yes No

Do you want a copy of your mail list?

Yes No

Email to:

Hard copy report

Addressing Method Requested:

Inkjet

Address Labels

Shipping labels

Laser Printing:

Letter sized (8.5x11)

Legal (8.5x14)

Other

Simplex

Duplex

Mail Services

Class of Mail:
Click here for Postal Class Explanations

1st Class Regular

1st Class Presorted - PAF Required

Presorted Standard - PAF Required

Nonprofit Standard - PAF Required

Periodicals

Postage Method:

Dasher Permit #917

Permit #

Meter

Live Stamp

Size of Mailpiece:

Letter (Maximum size 6 1/8 x 11 ½)

Non-letter (Anything larger than max letter size)

Postcard (3 ½ x 5 Min. to 4 ¼ x 6 Max.)

Mailing Post Office:

Harrisburg

Other

Is folding required:	Yes No
If Yes, please list the number of components to be folded.

Is tabbing required:

Yes No

Is inserting required:	Yes No
If Yes, how many inserts.
Please list the inserts.

Print/Copy Services:

Yes No

Additional Information:

Please review this form for accuracy before submitting.