American Data Lists Count and Quote Request Form

Count Request/Quote Request Form

Your Name :
Your Email:
Contact Phone:
Fax Number:
Company Name:
Method Of Contact:

[Indicate Your Request:]

Background Information:

How did you hear about us? Please be specific.

We are an agency, letter-shop, or direct Marketing professional, and we use lists for our client's campaigns.
Yes No

I purchase lists:

1+ per week 1 + per month 1 + per quarter

1 + per year

My expected mail date is:

within 1 month in 2-4 months in 5 months or more

List companies we've used:

No, I have never used another list source previously.

Select The List/Data File You Require A Count For:

Consumer List Data	Business List Data
Resident/Occupant Lists	Other (specify below)
SIC CODE:
If SIC Not Known Specify >>>>> Industry Sector Targeting

Enter Your List Selects (Criteria) Below:
[Please Refer To Service Links For Available Selects:]

1.)	2.)
3.)	4.)

If List Quote Enter Quantity: Requests of 100M +
Please Note: For Pricing Under 100M Please Refer To Standard Rates Advertised On Individual Category Pages.

Quote Quantity:

For Quote Requests
Please Select Desired Delivery Format Below:

Enter Any Additional Requests/Information Below:

Resident Occupant List::
Database: Advo
In need of a low cost resident list for targeted and saturation direct mailing? Visit Here

Consumer Lists::
Database: Acxiom & InfoUSA
Looking for the right Consumer List for your direct mail or telemarketing campaign? Let ADL help you select the right list. Visit Here

Business Lists::
Database: D&B
Looking for the right B2B list. Visit our service page for selection options. Visit Here

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in Microsoft Word Format