Please complete this form, then click the "Submit to MDS" button at the end.
IMPORTANT: You must complete all entries in the name and address boxes.


WHERE DID YOU HEAR ABOUT US?  
 

SEND ME INFORMATION ABOUT YOUR SERVICES
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For more immediate assistance, call us toll free in the U.S. at 800-MDS-DATA (in New York City, 212-279-4800) or contact our nearest service center. See list.

SEND ME A FREE COPY OF YOUR ANNUAL "POCKET MEDIA GUIDE." Available to U.S.-based organizations only, the PMG is published annually. Designed to fit easily into a wallet, the palm-size guide includes names and addresses, with phone numbers, of more than 700 major print and broadcast media in North America.
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Additional copies delivered to a single U.S. address are $1.50 each, payable in advance by check or credit card. Checks should be addressed to MDS, Dept. P, 307 West 36th Street, New York, NY 10018-6496. For credit card purchases, we will need the following information: 1) type of card (e.g., Visa or MasterCard), 2) name of organization and/or person on the card, 3) card number, and 4) card expiration date. You may mail credit card orders or you may use the COMMENTS field below by entering the required information.

SEND ME A FREE "CD PRESSPAK" SAMPLER. Available to U.S. based organizations only, the sampler features full-color cover art with "thumbnails" of the images inside. Our distinctive packaging saves editors and reporters time because they can instantly see what's on the CD so they don't have to click through unrelated material as is the case with undifferentiated PDF icons. Your PressPak will feature your own logo, text, images, instructions, etc., on the insert and disk. We customize the basic layout to suit your needs.
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NAME AND ADDRESS (All entries are required to process your request)
 
Name:
Title:
Company:
Street Address:
City:
State:
Zip:
Telephone: (numbers only with no spaces. example: 5554443333)
Fax: (numbers only with no spaces. example: 5554443333)
Email Address:
Website Address:

 

COMMENTS