EASI ® Master Database - 2007

FAX Order Form

Yes, I’d like to order the Master Database!

Fax your order now! Have fun with demographics!

Name ________________________  Title ___________________________

Company __________________________________________

Address ___________________________________________

City __________________________ State ___ ZIP ________

Phone (_____) ___________________ Fax  (_____) ___________________

Email ________________________________

(____)  EASI Master Database $9,500.  This version includes: Block Groups, Census Tracts, ZIP Codes, CBSAs,Cities, Counties, States, and US.

(____)  EASI Master Database with Site Analysis geography is $7,500.  This version includes; Block Groups, Census Tracts, Counties, States, and the US.

(____)  EASI Master Database with Market Analysis Geography is $4,000.  This version includes; includes; ZIP Codes, CBSAs, Cities, Counties, States, and US.

 (____) Call me to discuss the EASI Master Database or other products.

(____)  Next Day Federal Express $30 (____) Second Day Federal Express $20

Total $_________

Note: Multiple copy and not-for-profit discounts available.

Circle one: American Express MasterCard VISA  Note: NY orders will be charged NY State sales tax

Card #__________________________________  Expiration _______

Signature ________________________________________________

FAX to 856 931 4115 to the attention of: Robert Katz