Co-op Direct Marketing Program List Rental Request Form

Please complete and submit this online form. All fields are required. Your request will be promptly reviewed and our program staff will contact you. If you prefer, Click here to open print version of the request form.

Please fill in all required fields (* denotes required fields).

What type of list do you want?
Direct Mail
E-mail

Contact Information

Name:  * Required field
Organization:  *
Street address: *
City: *
State: Wisconsin
Zip code: *

Phone: *
Fax:  
E-mail address:  

Promotion Information

Description of promotion:
*
Date list needed: *
Date of campaign launch: *

Target Audience

Quantity:
Limit my list to   records
No limit

Dates:
From   to .
Within the past 12 months

Publications:
State Park Visitors Guide
Golf Course Directory
Arts & Crafts Fairs Directory
Native Wisconsin
WACO Campground Directory
Attractions Guide/Map
Rustic Roads
Wisconsin Heritage Traveler
Bed & Breakfasts Directory
Snowmobile Guide
Wisconsin Lodging Directory
Biking Guide
Snowmobile Map
Wisconsin Travel Guide
Fall Sampler
Spring Sampler
Fall/Winter Events & Recreation Guide
Spring/Summer Events & Recreation Guide

Targeted Markets:
Please select all states & markets, or the specific states and markets you wish to target your mailing:

All states & markets

Wisconsin
 

Illinois
 

Minnesota
 

Iowa
 


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