ORDER FORM

Just fill out the form below, check the locations you desire, and press the "submit" button. We will contact you immediately with a complete list of monitor addresses and procedures. Mail pieces will be dated and returned to you along with a Mail Tally Report outlining the activity for each monitoring period.

One time set-up fee:
IF YOU SIGN UP BEFORE DECEMBER 31, 2003, THIS FEE IS WAIVED!

Choose the location package that best suits your needs:

25 Locations  $60 50 Locations  $100 100 Locations  $180

(Don’t forget to check off the specific locations you want at the bottom of this page)


PIECE RATE: $1.45 per mail piece reported.
Pieces are billed monthly at a flat rate of $1.45 per mail piece reported. There are no additional fees for postage, reporting or shipping -- in other words, there are no hidden costs. Volume discounts are also available. If you think you qualify, please contact   Kevin Haining   for more information.

NAME 
TITLE 
COMPANY  
ADDRESS   
CITY  STATE   ZIP CODE
PHONE   FAX  
EMAIL  
How would you like to receive your reports? Mail  Email 
Do you want your mail pieces returned to you? Yes No

(If not, pieces are stored for 6 months)

Below, please check off the 25, 50, or 100 locations you wish to monitor.

WORCESTER, MA 01609   MADISON, WI 53716  
BOSTON, MA 02115   ST. PAUL, MN 55116  
BARRINGTON, RI 02806   W. ST. PAUL, MN 55118  
SMITHFIELD, RI 02917   MINNEAPOLIS, MN 55402  
DOVER, NH 03820   SIOUX FALLS, SD 57105  
ROCKLAND, MD 04841   MINOT, ND 58701  
S. BURLINGTON, VT 05407   BUTTE, MT 59701  
MANCHESTER, CT 06040   ELGIN, IL 60123  
WATERFORD, CT 06385   CHICAGO, IL 60645  
DANBURY, CT 06811   NORMAL, ID 61761  
SPRINGFIELD, NJ 07081   ST. LOUIS, MO 63113  
E. BRUNSWICK, NJ 08816   KANSAS CITY, MO 64112  
NEW YORK, NY 10018   LAWRENCE, KS 66046  
BRIARCLIFF MANOR, NY 10510   BELLEVUE, NE 68005  
HUNTINGTON STA., NY 11746   OMAHA, NE 68144  
ALBANY, NY 12210   METAIRIE, LA 70006  
ROCHESTER, NY 14624   ARABI, LA 70032  
PITTSBURGH, PA 15216   SEARCY, AR 72143  
RED LION, PA 17356   TULSA, OK 74133  
WARMINSTER, PA 18974   DESOTO, TX 75115  
NEWARK, DE 19702   DALLAS, TX 75152  
WASHINGTON, DC 20016   HOUSTON, TX 77089  
GAITHERSBURG, MD 20879   SAN ANTONIO, TX 78229  
COLUMBIA, MD 21046   AUSTIN, TX 78701  
FALLS CHURCH, VA 22041   FT. COLLINS, CO 80521  
WILLIAMSBURG, VA  23185   COLORADO SPG, CO 80918  
HUNTINGTON, WV 25701   VAIL, CO 81657  
MORGANTOWN, WV 26505   CASPER, WY 82609  
CARY, NC 27511   POCATELLO, ID 83201  
CHARLOTTE, NC 28112   BOISE, ID 83703  
ATLANTA, GA 30342   SANDPOINT, ID 83864  
ORLANDO, FL 32822   LAYTON, UT 84041  
MIAMI, FL 33166   SALT LAKE CITY, UT 84117  
TAMPA, FL 33614   PROVO, UT 84604  
ST. PETERSBURGH, FL 33702   PHOENIX, AZ 85051  
BIRMINGHAM, AL 35243   PRESCOTT, AZ 86301  
MOBILE, AL 36695   ALBUQUERQUE, AZ 87109  
KNOXVILLE, TN 37923   LAS VEGAS, NV 89122  
MEMPHIS, TN 38115   RENO, NV 89511  
SOUTH HAVEN, MS 38671   LOS ANGELES, CA 90064  
LOUISVILLE, KY 40202   SEAL BEACH, CA 90740  
CINCINNATI, OH 45255   SAN DIEGO, CA 92103  
DAYTON, OH 45459   SAN FRANCISCO, CA 94123  
GREENWOOD, IN 46142   GRASS VALLEY, CA 95945  
BLUFFTON, IN 46714   AIEA, HI 96701  
EVANSVILLE, IN 47715   LAKE OSWEGO, OR 97034  
DETROIT, MI 48224   TIGARD, OR 97223  
E. LANSING, MI 48823   BELLEVUE, WA 98005  
DES MOINES, IA 50266   SEATTLE, WA 98104  
GRAFTON, WI 53024   ANCHORAGE, AK 99502  


TERMS  AND CONDITIONS:
You will be invoiced the last day of each month for that month’s mail. Payment terms are net 30 days. All decoy names and addresses are the property of DM Trackers. If you cancel service, you must immediately remove the decoy names from all mailing lists. You will continue to be billed until no further mail is received by DMT.