TARGETLEADS
 Consumer List Order Form

Sales Person's Name (if known)

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:  Or if you ran your own count, put your query # here

Age:  -   or    Date of Birth Range (MM/YYYY) -      Income:           
Omit PO Boxes?: Yes               Gender: Male Female                                  Homeowners:  No  Yes
Phones:  Only names with phones All names with & without phones  
Other:

Print Options:
Phones    Age    Month/Year of Birth    Income code    Other

Sort Options:
 Zip/Alpha    Street Sequence    Year/Month/Zip    Zip/Year/Month    Other

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