NAEA | List Rental Form

List Rental | List Rental Form

List Rental Form

Fill out and print the form below and return to the address at right.

Choose
Elementary Middle Level Secondary College/University
Supervisors Museum Other

Choose
Peel-n-Stick (additional $12/1,000 names)
or
Digital (please call before placing order)

Choose
U.S. Canadian Foreign

Specify State(s)

Hereby agrees to abide by the following terms and conditions of NAEA list rental:

Sample mailing piece required.
Signed security agreement required.
List rentals are subject to approval. NAEA reserves the right to reject rentals for any reason at any time.
Orders under 1,000 names $115 plus $5 shipping charge. Over 1,000 is prorated at $115 per 1,000.
List Rental is for one time use only.
Allow 5 - 10 working days from receipt of order.
Purchase order required for billing.

VISA or MasterCard accepted.

Card

VISA Mastercard

Card #

Exp. Date

Security Code

(Last 3 digits on the back of card)

Further, we acknowledge that all names and addresses on the NAEA lists are the exclusive property of the National Art Education Association and may not be duplicated. Unauthorized use of lists will be subject to duplicate billings and/or damages. Lists are monitored.

Authorized Company Representative (signature):

Phone

Date

Please provide the following information:

Shipping address:

Name

Address

City

State

Zip

E-mail

Billing Address: (P.O. #)

P.O. #

Name

Address

City

State

Zip

Mail completed form and payment and shipping charge to:

NAEA List Rental
1916 Association Drive
Reston, VA 20191-1590