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List Request Form For Chapters

    * Indicates required field
    * Name:
    * Phone:
    * E-mail:
    * Chapter:
    Lists are sent via e-mail. Please allow 5 business days for delivery. Labels are sent via weekly chapter mail. Please allow up to 10 business days for delivery.
    So we can give you the best selections, describe the purpose of this mailing in detail:
    Type of Mailing
    Description of Mailing
    Format
    *ASCII File: format used by outside printers
    * Required Data on Lists and/or Labels
    *Labels cannot include phone, fax, or e-mail information
    Labels to be sorted by
    Electronic Mailing Lists are free of charge, please allow 5 business days for order processing.

    There is a $25 fee per order of Adhesive Address Labels. Free delivery if sent via chapter mail(alternating Fridays), please allow 10 business days for delivery. Rush orders (U.S. mail) will be charged actual shipping.

    Geographic Area
    Chapter Number(s)
    State(s)
    IREM Region(s)
    Zip Codes (first 3 digits)
     
    Member Categories
     
    Non-member Categories
    Note any other specific instructions:
     
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