Please mail the enclosed circular to the following quantities of people:

Preferred Customer Rates

200 names.......$14

500 names.......$30

1000 names.....$50

2000 names.....$80


Please fill in the following customer information:

Your Name:

Your Company Name:

Address One:

Address Two:

City/Province:

State: Country: Zip:

Phone (with area code/country code): E-Mail:


Payment Information:

  Type: Cash Check Money Order

Mail this order form, your circular and payment to:
Express Print & Mail
Box 9522
Pompano, FL 33075


Once we receive payment, we will send you a confirmation of your order via E-mail.
Thank you for your order.