Please fill out the survey below (incomplete entries may not be accepted)

  Name:

  Title:

  Department: 

  Address: 

  City: 

  State: 

  Zip:

  Phone: 

  Email:

Approximately how many addresses are there
in your coverage area:   I have no idea

Approximately how many businesses are there
in your coverage area:   I have no idea

Do you currently do a direct mail program? Yes No

If you answered yes to the above question, do you use a company or do your drive yourself

Another Company We do it ourselves

Are you satisfied with your return? Yes No

When do you send your mail out: 

Do you send a reminder mailing? Yes No

Do you conduct any additional types of fundraising Yes No

If you answered yes to the above question, explain below

  Comments/Questions: