Direct Merchandise Partners, LTD
292 Main Street, #328
Harleysville, PA  19438
215-361-6098
888-329-8295
Fax# 888-329-8295
info@dmpltd.com
www.dmpltd.com

Tell us about you so that we may keep in touch:

Nane:
Company/ Store Name:
Phone Number:
Fax Number:
eMail Address:
Street Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Mississippi Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
I am interested in learning more about:
Synergy:
Date Needed:	< November 2008 > S M T W T F S 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6
How did you hear about DMP?
Comments: