Our availability list is ever changing, so we want to keep you updated. The new list gets faxed 1-3 times per week, depending on availability. It goes out in the middle of the night, by computer, so keep in mind to have your fax ready to receive. To be added to our list, we need the following information. You may print this page and fax it to us as confirmation of your authorization to fax updates to you.

PRINT THIS PAGE. FILL IN THE NECESSARY INFORMATION, AND FAX THIS TO OUR DATA CENTER AT THE FOLLOWING NUMBER:

(931) 788-1152
OR
(931) 788-2961

PRINT CLEARLY!

Company Name:_____________________________________________

Address:_______________________________________________________

City, State and Zip:__________________________________________

Contact Person Name: _____________________________________

Voice Line Phone Number:________________________________

FAX Number:_________________________________________________

If you would prefer e-mail, we will still need you to fax this page as permission to e-mail

E-Mail Address:______________________________________________

SIGN:________________________________________________