Please submit the following information and receive a special offer, of your choice, on one of our reference or marketing products and services, as our way of saying "Thank you for considering Bresser's!"

* denotes required field Name * Company name Email Address * Phone * Fax Street Address City State Zip How did you hear about us? Business Associate Direct Mail Email Newsletter Past Use Search Engine Smartpages.com Trade Show Word of mouth Yellow Pages Other If other, please specify: What is your role? Chairman, Owner, Partner, Executive Director, President, CEO Vice President, CFO, CIO, COO, Managing Director Director, Manager, Supervisor, Team Leader Other Management Level Title Other What does your company do? Accounting/Banking/Financial Institutions Advertising/Marketing/Promotion/Public Relations Alarms/Security Services Building/Construction - Commercial Building/Construction - Residential/Improvement Computer and Data Processing Services Computer and Peripheral Equipment Distribution Computer and Peripheral Equipment Manufacturing Credit/Collection/Recovery Services Dry Cleaners Education Funeral Services Government Healthcare/Medical/Pharmaceuticals Heating & Cooling Insurance Internet/on-Line Services Landscape Design/Grounds Maintenance Law Enforcement Manufacturing (Non-Computer) Media/Publishing Mortgage Bankers & Brokers Non-Profit/Trade Association/Chamber of Commerce Painting & Interior Decorating Pest Control Plumbing Printing Real Estate - Commercial Real Estate - Residential Retail Trade/Distribution Roofing & Siding Security Dealers & Brokers Social Services Software Design/Development/Distribution Telecommunications Transportation Travel/Tourism/Entertainment Utilities Wholesale Trade/Distribution Other Business Services Other Personal Services Other If other, please specify: What would you like more information about? Directories Criss Cross Plus CD-ROM Verification and Locator Service Customer Relationship Management (CRM) Bresser's List Service VoiceShot - Voice Broadcasting Printing and Mail Service Data Management Service Comments (optional)

If you should have any problems submitting this form, please e-mail your information to us at information@bressers.com or print this form and fax it to (313) 874-3510.

Abbreviated Privacy Statement

1) Bresser’s will not share or resell any information you share with us.
2) We will occasionally contact you via phone, mail and or e-mail with information relative to Bresser’s products and services. All contacts will have opt out options associated with them and will be strictly adhered to.

Complete Privacy Statement