LIST PULL REQUEST

Fill in this form for any Marketing project that will be sent via direct mail or email.

Today's Date Today's Date / MM / DD YYYY
Your Name
Your JCC Extension or Cell Phone
Email
Program/Event/ Project Title (Please use same wording as you have for Marketing Request)
Date you want this arriving in homes (IF MAILING OUT, PLEASE ALLOW AT LEAST 5 WEEKS FROM DESIGN REQUEST DATE) Date you want this arriving in homes (IF MAILING OUT, PLEASE ALLOW AT LEAST 5 WEEKS FROM DESIGN REQUEST DATE) / MM / DD YYYY
LIST PULL CRITERIA

Please select the appropriate categories
Membership Status

Membership Status Current Members Active Non-Members
If you are selecting Active Non-Members please select one of the options below.

If you are selecting Active Non-Members please select one of the options below. last 12 months last 24 months
Target Age Range for Program
Gender preference

Gender preference Male only Female only Both
Please choose ONE of the following Zip Code options. PLEASE CONSIDER WHETHER YOUR PROGRAM WILL TRULY APPEAL TO MEMBERS IN THE PARK HEIGHTS AREA OR PEOPLE OUTSIDE OF OUR MAIN ZIPS.

Please choose ONE of the following Zip Code options. PLEASE CONSIDER WHETHER YOUR PROGRAM WILL TRULY APPEAL TO MEMBERS IN THE PARK HEIGHTS AREA OR PEOPLE OUTSIDE OF OUR MAIN ZIPS. 21208 (pull PH Branch ONLY), 21209, 21215 (Park Heights area) 21117, 21136, 21208 (Pull OM Branch ONLY), 21093, 21071, 21153, 21784, 21048, 21133 (Owings Mills area) All zips starting with 212, 211, 210 (Greater Baltimore area) All zips (in state) All zips (U.S.A only)
I am pulling this list to use it for the following purpose.
Choose "other" if you are looking for specific criteria for your list pull...such as listing specific ages.

I am pulling this list to use it for the following purpose.
Choose "other" if you are looking for specific criteria for your list pull...such as listing specific ages. Direct mail via US Postal Service - (pull first name, last name, address, city, state, zip) Email (names & email addresses) Other Other
Please choose if this will go Bulk Mail or First Class Mail

Please choose if this will go Bulk Mail or First Class Mail Bulk Mail (1/4 price of first class but can take up to 10 days) First Class
Please address my label as follows:

Please address my label as follows: First Name, Last Name (We will pull one person/ household - typically the person who signed up for membership, unless you specifically selected male or female above or children within certain age range) To the parents of First Name, Last Name (one child per household in selected from age range provided) Last name "Household" Last name "Family"
I have other lists I want you to use. Please check all that apply

I have other lists I want you to use. Please check all that apply Just use my lists requests from above Please combine my list pull request above with lists I am supplying Please use just my attached list(s) below - I don't require a separate member list pull I have emailed my list to the Marketing Director My list is up on the server, see instructions below
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Below are special instructions regarding my list pull.

LIST PULL REQUEST

LIST PULL REQUEST

LIST PULL CRITERIA