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Association of Professional Brochure Distributors

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Section
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Complete this form to receive additional information on Certified's brochure
distribution, publications, design services, and VisitorTips.com.
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[Spacer] Name of Company: [Spacer]
[Spacer] Your Name: [Spacer]
[Spacer] Your Title: [Spacer]
[Spacer] Address: [Spacer]
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[Spacer] Phone: Ex: 555-555-5555 [Spacer]
[Spacer] Fax: Ex: 555-555-5555 [Spacer]
[Spacer] Email: [Spacer]
[Spacer] Web Site: [Spacer]
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How did you hear about Certified Folder Display Service (Canada), Inc.?
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A) Saw Brochure Rack
B) Former Advertiser
C) Search Engine (Google, Yahoo, etc.)
           Google
           Yahoo!
           Altavista
           Infoseek
           Other
D) Other:

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1. Visitor Marketing Program (check the region requested)
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[Spacer] Canada
Arizona
California (North)
California (South)
Colorado
Idaho
Kansas
Louisiana
Montana
Nebraska		 Nevada
New Mexico
Oklahoma
Oregon
S. Dakota
Texas
Utah
Washington
Wyoming		 [Spacer]
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2. Corporate Industrial Program (check the region requested)
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[Spacer] Austin*
Dallas/Ft. Worth
Denver/Colorado Springs
Houston
Las Vegas*
Phoenix		 Sacramento*
San Diego
San Francisco*
San Jose/Santa Clara
Seattle/Portland
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3. Sports Program (check the region requested)
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[Spacer] Arizona
California (North)
California (South)
Colorado/Wyoming
Oregon		 Texas/Oklahoma
Nevada
Washington
New Mexico		 [Spacer]
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Design Services: (check the region requested)
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[Spacer] Print Design
Website Design
Multimedia Design
Discount Printing Program		 [Spacer]
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Special Programs: (check the region requested)
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[Spacer] VisitorTips.com
California Welcome Center
Washington State Ferry
BC Ferries		 [Spacer]
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Please have a local Certified Service Representative contact me!
ASAP
After (Date)     Month Day
Verification Image:

Type the letters above:
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When finished please click on the "Send Form" button. Be sure to include your phone number with area code. You will be contacted by phone within 3 to 5 days.

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