Mailers and Lists Order Form

All mailers and free gift brochures can be customized to meet compliance regulations and personalized to build your brand. Contact us to discuss customization options.

Pricing based on format, color and quantity.

We would be happy to email you samples.

List Selections (Indicate Below) ... or... Query #

(from List Count Page)

Age Range: & Over
or to
Estimated Income:
$20K+ $30K+ $40K+ $50K+
$60K+ $75K+ $100K+ $150K+

(Note:Estimated income is not guaranteed)
Phone Numbers:
100% Phones   Phones where available
Subscriber Account Number:
Click to register for SAN (required if phone #s selected above - include hyphens)
Name on your registration:
Special Dwelling Type:
Omit PO Boxes   Omit Apartments
Omit Condos   Omit Trailers


Special Gender Select:
Female Priority   Females Only
List zip areas or counties in priority order. Zips will be
used in that sequence until desired quantity is reached.
1.   3.   5.   7.   9.
2.   4.   6.   8.   10.

Paying By:

Check VISA MasterCard
American Express Discover
Name on Credit Card:        
Address where statement is sent:        
Please call 888-572-6373 with your credit card number,
expiration date and security code.

If paying by check, print this completed form and mail with check to:

Kramer Direct; 100 N Central Expressway, Suite 300; Richardson, TX 75080.

  ** required field
** Name:
** Address:
** City:
** State:
** Zip Code:
** Phone: () -

Fax: () -

** E-Mail:  

Please contact us toll-free at 888-572-6373 to help with your order, or visit our page from your desktop computer.