Farm Request
Name:
Company:
Address:
 
Phone:
Email Address:
Sales Rep:

Farm Name
(Name your farm for easy re-ordering)
1.
2.

Format Of Farm
(For emailed of CD farm)
Excel:
DBF:
PDF:
Top Producer :

Type of Farm
(Check all that apply)
Paper:
Diskette:
CD:
Email:
Labels: (plain white only)     Filter out " DO NOT MAIL" Yes     No

Use Code
(Check all that apply)
 
SFR:
Condo:
Other:

Label Addressee to Read
(If ordering labels)
Owner's Name & Current Resident
"Current Resident" Only

Owner Occupancy Status
(Check all that apply)
Owner Occupied:
Non-Owner Occupied:
Both:

County

Farm Request Method
(Check ONE)

Boundary Farm
North Boundary:
South Boundary:
East Boundary:
West Boundary:

Thomas Guide Grids
Thomas Guide Pg #:
Thomas Guide Grid #:

Bulls Eye Farm
Situs Address:
Number of Records Desired:
50
100 150 200

Customized Thomas Guide Map
You may include a map with your farm area circled.
Please use a bold black marker. Please include your
name and office on your fax. Please fax your map to
Farms & Labels Plus at: (818) 882-3043


Farming By Street Names Only
(If you have more than 8 streets please see below)
1.
2.
3.
4.
5.
6.
7.
8.
Special Instructions:

To Add More Streets - Please Click Here
*You will need to sumit this form as well as the Additional Streets Form

You can also use a map with the farms circled and fax it to (818) 882-3043
Please include the Client Name and Office on your fax.