Permission to Contact by Fax or E-mail

Because we value your business, and understand the problems associated with unsolicited e-mails and faxes being sent to your company, we now ask our customers to tell us whether or not we have permission to contact them by these electronic means.

The 1991 Telephone Consumer Protection Act and the Junk Fax Prevention Act of 2004 establish the laws we comply with as to customers permissions to receive materials by fax. Though neither Act discusses any regulation regarding e-mail, we have decided to extend our policy to include ALL outbound digital communications.

Please complete the form below. When you do, you'll be entered into a drawing to win Lesman-ware (magic coffee mugs, t-shirts, embroidered golf shirts and Oxfords).  Blue denotes required answers.

 

Please include your valid fax number and e-mail address below. Please note, if you do not grant us permission to contact you by fax or e-mail, these items will be held in our confidential database for reference only.
 
Permission to Fax: I hereby allow Lesman and its partners to contact me by fax.  Yes No
Permission to E-mail: I hereby allow Lesman and it's partners to contact me by e-mail. Yes No
   
Your Contact ID:  The 6-digit number just above or after your name on Lesman publications.
This is NOT a mandatory field. It'll just help us find your record more quickly. Thanks.
Your Name:
Title:
Department:
Mail Stop:
Company Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:
Extension:
Fax Number:
E-mail Address: We value your privacy.
   
Survey
Questions:

Help us serve you better. Please answer the following questions about the marketing communications messages you receive from Lesman.
Question 1:
How often should we contact you with our Superfax or Lesman E-News newsletters?
Weekly
Every Two Weeks
Monthly		 Every Six Weeks
Quarterly
Any Time You Have Important News
Question 2:

What's been most helpful to you?

Question 3:

What's been least helpful?

Question 4:

What topics should we cover?

   
Catalog:

Send me a copy of To The Rescue, the latest Lesman catalog.
   

In order to verify your permission (without the availability of a physical signature), we ask a personal question. This information is used solely for verification purposes.

Digital Signature:

In what year were you born? 
 

Important: Click "Send Request" before leaving this page, or your request cannot be processed! 
Items in blue are REQUIRED.

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