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Selling You™ – Welcome Home – Your Consumer-Direct Newsletter Order Form

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I would like to receive newsletters:

Monthly (12 times/year)

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Quarterly (4 times/year)

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Referred by:

Email :

IMPRINT INFORMATION

Your Name:

Company Name:

Your Title:

Mailing Address:

Bldg./Suite:

City:

State:

Zip:

Phone (Description):

Phone #:

Phone (Description):

Phone #:

Phone (Description):

Phone #:

Email Address:

Use my photo on file

Photo sent via e-mail - (photo saved at 300 dpi as either a .jpeg or .tif works best.)

Do not use my photo

(Attach your photo to the preaddressed email that opens when you click this link)

Special Message Imprint Area - Limit 25 words (enter text below)

Order Information - Minimum order is 100, additional increments of 25 (based on the pricing provided below please calculate your costs and input the appropriate dollar amounts in the form fields provided)

Newsletters:

Input Pricing Here

Imprint my newsletters in Black & White (Black & White Photo & Logo)

Quantity:

X 24¢ each =

Imprint my newsletters in Color (Full Color Photo & Logo)

Quantity:

X 56¢ each=

Shipping/Handling:

100-250 is $7.70

250-500 is $10.80

500-1000 is $17.10

over 1,000 is $25.15

Foldling:

Fold my newsletters to 8 1/2 x 11 (No Charge)

Fold my newsletters to 8 1/2 x 5 1/2, with tab closures and ready for mailing

Quantity:

X 8¢ each

Setup/Change:

New subscriber imprint set up – information supplied above ($25, one time)

Current subscriber imprint change – changes supplied above ($15, one time)

Add or change photo with photo enclosed ($15 per photo, one time)

Mailing:

Key in my mail list or list corrections 25 names or less ($5.75 minimum)

Key in my mail list or list corrections 26 or more

Quantity:

X 25¢ each

Use my mail list supplied in MS Excel ($15.00, one time)

Address and mail my newsletters via Standard A class mail

Quantity:

X 41¢ each

Add total of lines 1 through 11 and enter total to the right.

TOTAL:

Shipping Information

Ship to:

Address Above

Alternate Address Below

Alternate Shipping Address (Complete this section only if you want your newsletters shipped to an address other than the address stated above). No Post Office Boxes please.

Name:

Company Name:

Bldg./Suite:

Address:

City:

State:

Zip:

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By selecting the submit button below you authorize Welcome Home™ to charge your credit card the amount listed in the TOTAL box above.

Fine Print: Complete all information requested. One order per form. A confirmation of your order will be provided via email and will display upon submission. Cancellations must be received in writing 60 days prior to issue date. Your credit card will automatically be billed prior to each publication release date unless you provide written notification of change. Mail lists must be typewritten including names, addresses, city, state and zip.