Customized Newsletter Sign Up Form

Sorrell Associates Customized Newsletter Service

Please complete and e-mail this form to Gary@NewsletterVille.com

Name:

Company Name:

Address:

City: State: Zip:

Phone: Fax:

Alt phone: Alt Contact:

E-Mail address:

Web Site:

Newsletter Name:

Title, slogan, or motto:

Today's Date: Start Date:

Billed yearly, Quarterly, or Monthly Amount $

Credit card billing information:

Credit Card Number: Exp Date:

Card Type: Visa - MasterCard - American Express:

Credit Card Billing Address - type same if billing address is the same as above:

Address:

City: State: Zip:

Name as it appears on the credit card:

Electronic Authorized signature: Title:

Signature constitutes agreement for newsletter and credit card authorization. Initials here:

Print name here:

Please choose only one: we will call you to help figure out what is best for you.

Code A Code B Code C Code D Code E
Code F Code G Code H Code I EZ 6 EZ 12
Bronze - Silver - Gold

Enter Newsletter code here:

If you would like your logo included in your newsletter, enter YES here: and e-mail it in JPEG format.

Member of any associations please indicate here:

How did you hear about us?

There is an initial 1 issue deposit that will be credited to your 12th/24th issue. Non refundable if you cancel before your 12th/24th issue.
Automatic roll over yearly or cancel after your 12th/24th issue with a 30-day notice.

For detailed descriptions see below.

If you have any questions please call Gary Sorrell at 740-824-4842
or e-mail Gary@NewsletterVille.com

Sorrell Associates Customized Newsletter Service 740-824-4842 phone

24681 State Route 60, Warsaw, OH 43844

Please save to your desktop, fill this form out, and e-mail it back to Gary@NewsletterVille.com

Options

HTML / PDF / Print / Electronic

2 page / 4 page / E-zine - Bronze, Silver, Gold

Monthly / Every Other Month / Quarterly

Bronze: Basic newsletter includes Content, Formatting, and graphics. You add your company information, motto or slogan, and newsletter name. Areas you need to modify are indicated in “RED”. You control the distribution via mail or e-mail. Within minutes you will have a completed newsletter. See Samples at www.NewsletterVille.com

Silver: Standard newsletter includes everything that comes with the basic newsletter but we do all of the formatting for you. Every issue will be customized with your company name, the name you would like for your newsletter, phone number, fax number, e-mail address, logo, and motto / slogan. You will receive an original personalized "camera or e-mail ready" newsletter complete with content. Then all you do is e-mail or make copies and mail your newsletter to your prospects and clients. We will add your article, calendar of events, photo, or logo for free. See Samples here or go to: www.NewsletterVille.com

Gold: YOU CHOOSE THE ARTICLES newsletter includes everything in the standard package plus you will have an opportunity to choose some of the articles you would like in each issue. We will give you a link to articles so you can decide which articles you would like in each issue.
See Samples here or go to: www.NewsletterVille.com

Platinum: Completely customized newsletter. You send us your articles and we do the rest. We will take your articles, proof read, format, design, and create your newsletter. We will add some of our articles if you do not have enough information to fulfill an entire newsletter.
See Samples here or go to: www.NewsletterVille.com

NEW COMPLETE TURN-KEY E-ZINE SYSTEM

Take advantage of the most robust e-newsletter service available today.

	We create your entire e-newsletter with your content, our content, or a mix of both.
	We create the format, layout, and design of your e-newsletter per your instructions.
	AND deliver your newsletter to your contact management system list via e-mail.
	One system, one decision, multiple solutions.