Below is a request form which covers all the basic selections available on our Business-to-Business lists. Not every section of this form needs to be completed, but at least one area of geography, one type of list and any other specific selections you would like should be completed in order to help us serve you. After completing and submitting the below form one of our list experts will reply by email or phone to give you the total number of records available that meet your request, as well as the different cost options available for that list.

If you would prefer to call us at 800-728-8192 to speak to a live representative about these selections or any other special requests or assistance you may need, please feel free to do so. If you are unsure of the type of list that would best suit the needs of your campaign, please call us for assistance.
Full Business Name:
Full Name and Title:
Business Street Address:
City:
State:  ZIP Code:  
E-mail Address:
Telephone number: (include area code)
Best time to call:
Fax number:
Type of product or service:
Referred by:
Keenote representative I spoke to:


ALL B2B MAILING RECORDS ARE BASED ON UNLIMITED USAGE FOR 1 YR

CHECK ALL THAT APPLY:

Business List: ($125.00 min order) (all business data is sold for unlimited use for one year)
Note: /m = per 1,000 records
Business Name & Address Only - $54.00/m
Business Name, Executive Contact Name/Title where available, Address and SIC Code/Description - $75.00/m
Business Name, Executive Contact Name/Title where available, Address, SIC Code/Description and Phone Number - $95.00/m
Business Name, Address & Phone Number - $85.00/m
Business Name, Executive Contact Name/Title where available, Address, SIC Code/Description, Phone Number, Legal Status, Ownership, Year Started, Type of Site, Import/Export, Subsidiary/Non Subsidiary, Annual Sales (number and range), Number of Employees (number and range) - $140.00/m - $250 minimum
Select free by Geography:
Specify 5-digit ZIP codes:
Specify States:
Specify Counties:
Specify Radius of Zip or Address:
Specify Metro Areas:
Specify Phone Area Codes:
Specify Other Geography:
FREE Select Items (please specify):
Type of Business (SIC Code)
     Please Specify SIC Codes:   Find Your SIC Codes Here
Number of Employees:
     Please Specify Number of Employees: 
Annual Sales Volume:
     Please Specify Annual Sales Volume: 
Type of Site: Single Location Headquarters Branches
Subsidiary: Subsidiary Non-Subsidiary
Legal Status: Corporation Partnership Sole Proprietorship Unknown
Ownership: Public Private
Number of Years in Business
     Please Specify Number of Years in Business: 
Manufacturing: Manufacturing Site Non-Manufacturing Site
Executive Contact Name Available: Where Available 100% (must be present)
Exclude All Known: Franchises Chains
Refinement Select with each having its own associated cost:
Specialty Contacts (such as IT personnel, Human Resources, etc.) - Add $60.00/m:
     Please Specify Specialty Contacts: 
Minority Owned Business - Add $20.00/m
Women Owned Business - Add $20.00/m
Specific Minority Owned Business - Add $40.00/m: Asian African American Hispanic Indian
Veteran Owned Business - Add $20.00/m
Standard Output Media:
Email - Comma Delimited File Format - Free
CD Rom Delivered via Standard Mail - Add $5.00
CD Rom Delivered via Fed-Ex Overnight - Add $35.00
Email - Microsoft Word Label File Format for your Labels (such as Avery) - Add $25.00
All rates are based on a 30% discount for internet and referred business sales compared to our regular retail rates. All rates are subject to change.

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