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Date:
Customer Name:
Telephone Number:
Email Address:

1.	How do you want us to handle questionable addresses?
	Send mailing pieces out to the mailing addresses as supplied. Send a report to the email address shown above and wait for a response.** Do no process these records with the rest of the mailing.

2.	How do you want us to handle records for people who have moved and left no forwarding address?
	Send mailing pieces out to the mailing addresses as supplied. Send a report to the email address shown above and wait for a response.** Do no process these records with the rest of the mailing.

3.	How do you want us to handle recods when people have moved and left a forwarding address?
	Send mailing pieces out to the new mailing addresses. Send a report to the email address shown above and wait for a response.** Do no process these records with the rest of the mailing.

4.	How do you want us to handle duplicate addresses based on name, delivery address, zip codes?
	Send mailing pieces out to the mailing addresses as supplied. Send a report to the email address shown above and wait for a response.** Do no process these records with the rest of the mailing.

5.	Do you want us to send the NCOA-Link Processing Certificate to the email address shown above?*
	Yes No

6.	Would you like us to return the clean data to you? ($135 charge)
	Yes No

Other Comments:



* **	There may be an upcharge for this service This may cause a delay in the mailing. (There may be an upcharge for this service)

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