Coverage Gaurantee Association Image  
   
   
  direct Mail application  
 
* = Required to obtain a quote/contract.

Click here for application in PDF Format.

* First Name: spacer
* Last Name:  
* Name of Organization:  
Address:  
City:  
State:  
  Zip:  
* Phone:  
Fax:  
E-Mail Address:  

How did you hear about CGA:  
Date Start:  
Date End:  
Location of Promotion:  
* Prize Value:  
Check One:    
* Number of Mailers (Pieces):  
* Number of Potential Winners:  
Is Someone Doing Your Mailing For You?  
If so, what mail house or company?  
Which Promotion:  
     
     
   
   
   
Description of Promotion:
(How does it work?)
 
     
Call CGA with your promotion details:
800-242-7789/Fax: 574-271-1747 or email: info@cgainc.com
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