Bulk Mail Request Form
Dept. No.   Department   Billing Number  
Contact   Phone      E-Mail  
Title of Mailing  
If you have a sample, please send ASAP

Program #

(if applicable)  
Rush(time & 1/2 out day following check-in) Opt out of Rush(If job will go out in a day or two later anyway)

Type of Mailing

 Self-Mailer Letter Envelope Flat
Standard Services

Ink Jet Addressing

Tie and Mail Only

Machine Inserting (Identify Inserts)

Please write the name of all inserts in their proper order:

Automation Services

Duplicate Detection (Do not "estimate" when determining number of mail pieces to be printed)

Ink Jet Fixed Message Items (Specify return address, indicia, endorsements, etc.)

Foreign Mail Addressing of Customer Supplied Envelopes

Other (Please specify)

Complete for Automated Mailings Only

Compact disk (CD)

E-Mail (Put name of Program in subject line of e-mail)

Specify file name and file format

Mail Date 

# of Addresses Provided

# of Pieces Provided  (Note: Number of pieces printed must be higher than number of addresses provided.)

Additional Information and Instructions

This form must be submitted before any job can be processed at the UWM Bulk Mail Center