Comments to Webmaster or Ordering Information for New Resident Lists
(you may also print this form and mail it us and we will call to get billing information)

Tell us what you think about our web site, our products, our organization, or anything else that comes to mind. We welcome all of your comments and suggestions. You may also use this form to order our residential mailing list for new movers to your community. Please complete all the information. You may also print this form and mail it to us.

What kind of comment would you like to send?

Complaint Problem Suggestion Praise Order a List

What about us do you want to comment on?

Other:

Enter your comments in the space provided below:

PRICE LIST FOR NEW-RESIDENT NAME AND ADDRESS SERVICE
ONE TIME.. $45 computer programming and set up fee per customer.
REFUNDABLE..$35 DEPOSIT for each Zip Code, (or set of labels), requested.
HOMEOWNER RATES: $.35 (thirty five cents) per name supplied and billed monthly.*
NEW RESIDENTS RATES: $.30 (thirty cents) per name supplied and billed monthly.*
*PLUS a monthly $8.50 postage and handling fee per order- not per zip code.

SUBSCRIPTION RESERVATION

Please enter my subscription for your
new-resident name and address service
at the rate of
per name for the zip codes listed below.

ZIP CODE AREAS REQUESTED



Total number of Zip Codes, or sets, ordered
X $35.00 deposit for each set of zip codes

One time computer set up fee..... $45.00

Total Amount Enclosed

I have enclosed or will pay a one time $45.00 non-refundable computer programming and set up fee plus a $35.00 (refundable) deposit for each Zip Code area chosen. I understand that the names and addresses of new residents for these areas will be supplied monthly on pressure sensitive labels. You will bill me monthly for these names at the rate for the subscription length I have chosen above, plus a monthly $8.50 postage and handling fee. If I have chosen the Monthly option this agreement will remain in force until I notify you to stop. Such notification must be made before the 15th of the month to be valid. I further understand that the names and invoice will be sent to me the first week of each month and that my payment is to be made no later than the 15th of the month. Furthermore, I certify that these names are for my own use only and that I will not duplicate, reuse, copy, supply, send or sell them to others.

PLEASE SHIP AND INVOICE TO:
(you may also print and mail this information - hit print on your tool bar now)

Your Name
Business Name
Type of Business
Street Address
City
State Zip

Phone Number
Email Address

Authorized Signature ____________________________________

Tell us how to get in touch with you in the event this order does not go through:

Name
E-mail
Tel
FAX
Please contact me as soon as possible regarding this matter.

Timson Edwards, Co.
PO Box 55-0898
Jacksonville, FL 32255-0898
Copyright © 1999 Timson Edwards, Co. All rights reserved.
Revised: October 26, 2015 .