Need a service quotation? Please complete the form below. We will contact you to discuss how our services might meet you needs. Thank you for the opportunity to provide a service quotation.

Name (required):
Company/Organization:
Mailing Address:
City:
State:
Zip Code:
Phone Number (required):
Fax Number:
E-Mail (required):
Describe the Class Of Mail: (Please select only one. If you are not certain what class would work best, select from one of the "NOT SURE" options listed below.)
Class of Mail: (Please Select One):	First Class Periodicals Standard A (a.k.a. Third Class Bulk Mail) Standard B (formaly Parcel Post) Priority Mail Express Mail(Product of USPS) Not Sure - Least Expensive Not Sure - Fastest Delivery
Type of Mail: (Please Select One):	Regular (for profit) Non-Profit
Estimated Total Volume:
Description of Mailpiece:	Standard Postcard Oversized Postcard Folded Self-Mailer Data Mailer #10 Envelope (Windowed) #10 Envelope (Non-Windowed) Flat (9"x12") Other
Total Number of Inserts:	0 1 2 3 4 5 6 7 +
Will folding of any Insert be required?:	No Yes
If "Yes", please indicate size:	8.5"x11" 8.5"x14" 8.5"x14" 11"x17" 17"x24" Other
Addressing Method:	Ink Jet Imaging Labels Insert Through a Windowed Envelope Handwritten
Address Source:	CD, Diskette, Etc. Labels Hard Copy Email File/FTP File
Postage Payment Method:	Permit Imprint Metered
Do you have your own permit account with the U.S. Postal Service?	No Yes
If "Yes", please indicate the name of the Post Office where the permit account is maintained (City and State):
City:
State:
Would you like us to provide a quotation for printing your material:	No Yes
Mailing Dates:
On what date would you like to see this mailing sent out?: (MM/DD/YY)
What is the "response date" (e.g. the date of the event, or the date a response is required) as detailed in the mailed material?: (MM/DD/YY
Text Description of Mailing:
In the space below, please briefly describe the mailing and its components:
In the future, would you like to receive free information, via e-mail regarding, Postal Alerts and Industry News, as well as, service information from Lake Michigan Mailers, Inc.?:
Yes No
Additional Comments:

Notice: All service quotations are based on information provided on this form and in verbal communications with the customer and are subject to a physical review of the mailpiece to assure compliance with USPS equirements.

If you have problems with this form, or if you require immediate assistance, please call us at
1-800-653-3121. All service quotations are subject to the terms and conditions specified in our Service Customs.