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Project Request
Name
*
First
Last
Company
How did you hear about Dasher?
*
Repeat Client
Vendor
Website look up
LinkedIn
Facebook
Other
Job
*
Mail Date
Date Format: MM slash DD slash YYYY
Or Sooner?
No
Yes
Phone
*
Fax
Email
*
Description
Protected Health Information
Yes
No
Dasher Pick Up
Yes
No
Pick Up Details
Printer Delivery
Yes
No
Printer Delivery
Leftovers
Email Expected Date
Date Format: MM slash DD slash YYYY
Data List Other
Number of lists:
Merge Lists
Total Records
Household Purge
Exact Match Purge
Foreign Address Mailing
Yes
No
Final List Emailed
Mail Class
Postal Method
Permit
Meter
Stamp
Permit
Dasher (Permit 917)
Post Office
Other Post Office
Materials to be printed
Additional Information
Note:
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