Contact Brokers Worldwide

Name*

Company*

Phone*

Email*

State

International or Domestic Mail

Type of Mail (check all that apply)

	Parcel		Flats
	Letters		Other

Comments

Request for Information

For more information, fill out the form below and click the Submit button. Items with an asterisk (*) are required. To schedule a Pickup, click here. To get our mailing address, fax or phone, click here.

Name*:

Company:

Street Address:

City:

State:

Zip: Country:

Phone*:

Fax:

E-Mail*:

Avg # of Pieces: Avg Weight per Piece:
Total Avg Weight:

Type of Mail: (Check all that apply)

Catalog	Renewals	Books	Promo Mail
Lettershop	Magazine/Journal	Correspondence	Invoices
Newspaper	Lettermail	Fulfillment	Other
Newsletter	Membership Kits	Parcels

Type of Service: (Check all that apply)

IPA	ISAL	USPS GBE	Domestic Flat Mail
USPS Economy	USPS 1st Class	1st Class Remail	UPS Canada
USPS Surface	International Parcels	Direct Injection	International Address Cleansing
P/M Remail	Hand Delivery	P/C Kilo	Other
Canada Admail	Lettermail	IPM Canada

Frequency:

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Destination(s)

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Notes:

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How would you prefer to be contacted? (Check all that apply)
Phone E-Mail Mail