International Fulfillment Corporation

DEMO JOB REQUISITION FORM

This is just a demo form. Filling this form out will not submit an actual job to IFC.

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General Information
Company Submitted
Requested By Phone Number
Anticipated Completion Date

Digital Copying
Will this job require digital copying? Yes No -- If yes, please send files to data@ifcweb.com or send 3 copies of original.

Addresses
Database Mailing List
Are you submitting addresses electronically?
Yes No

On a CD or Diskette?
Yes No

By Email? (send to data@ifcweb.com)
Yes No

Are you sending a printed mailing list?
Yes No

Number of Lists Sent

Please call (301)779-4660 to arrange for material to be picked up.

Total Electronic Records

Total Paper Records


Total Records

Mailing Components
Self Mailer #10 Envelope 6x9 Envelope 9x12 Envelope
Other

List Inserts in Order:

Total Number of Inserts

Personalization
Is this a personalized letter? Yes No

What type of paper will it be printed on?

Postage
First Class First Class Presort Standard / Bulk Rate Non-Profit

Additional Instructions / Comments

Extra Materials
Please indicate what IFC should do with extra materials:

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© 2004 International Fulfillment Corporation   3570 Bladensburg Rd   Brentwood, MD 20722   (301)779-4660