GuardianTitle

*= required field

Farm Package Request

*From:

*Company:

*Office Address:

*Phone:

*Fax:

*Email Address:

Product(s) Request

Printed Labels (NOTE: Complete Sections A and C to order)

Report (NOTE: Complete Sections A and B to order)

Printed Labels and Report (NOTE: Complete Sections A, B and C to order)

Farm Information

REQUIRED INFORMATION - FARM CANNOT BE STARTED WITHOUT THIS INFORMATION

*County:

*City:

*Target Address:

Section A - MUST be completed for ALL Farm requests

Street boundary farm

North:

East:

South:

West:

Number of Homes:

Proximity Search

Number of Homes:

Subdivision Farm

Subdivision Name:

Filing:

Number of Homes:

Type of Home

Single Family

Condos/Townhomes

All Properties

Special Requirements:

Owner Occupied

Owner Mailing Address

Non Owner Occupied

Renters

Section B - MUST be completed for Reports

Report Format

Email Report to email address provided

Send CD to physical address above

Format

Detail - Excel Spreadsheet

Statistical Data

Merrill

Top Producer

Label

Section C - MUST be completed for Labels

Greeting on Label To

"Owner Name" Only

"Owner Name" and/or "Current Resident"

"Current Resident" Only

"Our Neighbor" Only

Other, please specify

Address To

Property Address

Owner's Mailing Address

Label Type

First Class Mail

Barcode (bulk mail, 200 piece minimum and must be mailed together)