List/Report Request Form
Please be advised that lists are pulled ON THURSDAYS ONLY, so be sure to plan your project needs accordingly and have your requests submitted by WEDNESDAY NIGHT.
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Email *
Your Name *
Name of Supervisor Approving this Request *
Mail Code for List
(Optional)
Purpose of List *
Selection Criteria for List or Report *
Zip code range *
This must be a range - do not include a large list of individual zip codes
Groups to EXCLUDE *
Groups to EXCLUDE from mailing
Required
Maximum Number of Records *
How far back in time? *
How long ago should our latest contact with the people be?
MM
/
DD
/
YYYY
Fields Needed *
Required
Expected Mail Date for list *
MM
/
DD
/
YYYY
Send List to:  (if for e-blast, write "digital team" here) *
Fund for List
Fund that gifts should go to
Specifics if Requesting a Report
Additional Notes
Eblast or Snail Mail? *
Required
A copy of your responses will be emailed to the address you provided.
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