Brokers Worldwide Contact Us

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:

Other:

Destination(s)

Lettershop/Fulfillment Requirements:

Notes:

How did you hear about us?

Other:

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