TARGETLEADS
 Business List Count Request/Order Form

Sales Person's Name (if known)

Requesting:    Count     Order

List Output Type:
 Manuscript on 8 1/2" X 11" white Peel and Stick Labels   3X5 Cards
 CD Rom                                              3 1/2" Diskette            Email

Questions?

Call our office at 800-723-5254 or email us at sales@targetleads.com.  One of our account executives would be more than happy to help you.

For CD Rom, Disk and Email Orders, please select format:
ASCII Comma Delimited                 D-Base                          Excel

Demographic Selects:
Headquarters/Branches        Franchises        Import/Export        Women Owned        Minority Owned

 Estimated Sales Volume         Exact Sales Volume       Employee Size         Other 

 Type of Business or SIC Code (separate by comma)
           

Print Options:
 Phones    Contact Name (where available)    Other

Sort Options:
 Zip/Alpha    Street Sequence   

Zipcodes, SCF’s, and/or counties (list in order of preference from left to right):

Quantity to Order: 

Duplicate List:     Manuscript on 8 1/2" X 11" white Peel and Stick Labels    3x5 cards      disk/email 

 Notes/Special Instructions:

 

Billing and/or Shipping Address: (if billing address is a PO Box, please put a physical address in the notes section for FedEx shipping)

Company:      
Name:
Address:
City:        
Zip:    
State:    
Phone #:      
Fax #:
Email:

 

Payment Method

*NOTE*  Our office will call you for your credit card information if you select to pay by credit card.  Order is subject to availability of zips under our 90 day file protection policy.

Please send confirmation of my order by: Fax    Email    **Confirmation of order is required