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Name: Company: Phone: 2nd Phone: Fax: e-Mail: Type of Leads: Hard Copy Hand Writes Electronic Database Product or Service You Offer: Your Target Market in 3 Words. (Travelers, Lottery Players, Gamblers, Sweepstake Players, Credit Card Holders, Credit Seekers etc.): Most relevant Consumer Industry: Choose One Adult Video and Novelty Buyers Casino Credit Cards Credit Repair Debt Consolidation Fitness Gamblers Lottery Magazines Opportunity Seekers Sweepstakes Stargazers Psychics Time Share Travel Weight Loss Most relevant Business Industry: Choose One Banking & Finance Business Casinos Financial Publications Recreation & Travel Retailers How Many Do You Need?: 1000 Hand-Writes 2000 Hand-Writes 3000 5,000 5,000 10,000 15,000 20,000 30,000 40,000 50,000 75,000 100,000 200,000 Target Areas? Zips Nationwide States Nationwide Counties Area Codes Countries Do You Require Phone Numbers?: Yes No Do You Have A Call Center?: Yes No How Many Sales Reps?: None 1-5 10-25 25-50 50-100 100-250 250-500 How do you process your sales? Credit Card ACH-Check Debit Checks Pay Pal Sales Per Month? 1-5 10-25 25-50 50-100 100-250 250-500 500-1,000 1,000-2,000 2,000-5,000 5,000-10,000 10,000-20,000 20,000+ Our clients are very satisfied and supplies are very limited. Orders are sold on a first paid, first order filled basis. © Sweeps Responders 4 U, All Rights Reserved. 2007