Mailing Labels Order Form
  1. List Type

    PTAG has over 2,200 members (varies by month) comprised of 65% PTs, 6% PTAs and 29% students.
  2. List Types(*)





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  3. LANs Only (click here to view the demographics)(*)



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  4. LAN Type Filter(*)
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  5. Processing Fees(*)


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  1. Billing & Ship To Contact Information

    This information will be used for sending a confirmation, receipt, and for any questions regarding the order.
  2. Name(*)
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  3. Company(*)
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  4. Address(*)
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  5. City(*)
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  6. State(*)
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  7. ZIP Code(*)
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  8. Phone(*)
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  9. E-Mail(*)
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  10. Purpose of Mailing (example Seminar Brochure)(*)
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  11. Company Mailing Type(*)
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  12. Terms & Conditions(*)
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  13. Payment

    If submitting your payment via mail, please be sure to include a copy of your confirmation email so the payment can be properly credited.
  14. Total Amount Due
    0.00 USD
  15. Payment Type
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