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List and Label Request Form

Contact Information  
Name
Volunteer Position
Telephone
Email

Request  
Club Name/Class Yr.
Reason for Request
Date Needed by
(If longer than usual 3-5 day turnaround time.)

Request

List Labels
(Complete details below)

Labels List

Format Requested:

US Mail
MS Excel-email
MS Word-email
# Sets:

Format Requested:

MS Excel-email


# Sets:


Sorted by:

Current Last Name
Zip Code
Other, specify:
College Last Name
Birthday (specify quarter in "other" field)


Sorted by:

Current Last Name
Zip Code
Other, specify:
College Last Name
Birthday (specify quarter in "other" field)
Additional Information
 Additional Information

If requested format is by US Mail, please complete the following:

Address Information
Street 1
Street 2 (Apt. #)
City
State
Country
Zip/Postal Code