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Company Name *

Full Name *

Email *

Phone *

Street *

City *

Zip Code *

VAT Number

Password *

Confirm Password *

Campagin Start Date *

Campaign End Date *

Media Type

Media Title

Collection Required? Normally £25 + VAT for under 10K

Boxes (if known) Number of boxes to be collected/delivered

Quantity of Flyers Quantity of flyers to be distributed

Cost (£/1000) * Agreed cost per thousand leaflets in £.

Distribution Type

Target Postcode *

Target Area *

Campaign Details *

Additional Instruction

Leaflet Printing Options

Pages

Page Orientation

Page Format

Paper

Colours

Processing

Enhance brand recognition by combining online marketing and door-to-door distribution. Interested in discussing further?

Yes

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Payment: Distribution will not commence until payment has been received and cleared. Please make cheques payable to ASA Distribution.
Delivery: Bulk material for distribution should only be delivered to our address after arrangements have been made to receive it.
Packaging: All material for distribution must either be boxed in cardboard boxes or bundled using plastic straps or elastic bands.
Information: We will conduct your campaign based on the information you provide above. Please ensure you have included all relevant information and special requirements.

By submitting this form to ASA Distribution, I/We have read and accepted the Conditions of Provision of Services via our website Terms

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