Information Request Form

Please complete this form to begin reducing your operating expenses today.

Company:

Contact Name:

Address:

City:

State:

Zip:

Phone:

Fax:

E-mail:

How did you hear about APPI's services?
APPI Website APPI Direct Mail Association Convention Association E-mail Association Publication Assoication Referral Association Website Word of Mouth Other

If you belong to an association, what is the name of that association?

Best Method to Reach You:
E-mail Fax Phone
Number of Employees:

Number of Locations:

Please select the three areas in which you would most like to reduce your expenses:
Electricity • Natural Gas • Water - Recycling • Waste Removal • Freight • Credit Card Processing • Telecommunication Services

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Click the Submit button to forward the form to APPI or print the form from your browser and fax it to 410.749.8769. APPI will contact you within 24 hours during the business week.