DMAChoice Registration Form for Mailing Preferences

1 DMAC hoiceRegistration form for Mailing PreferencesIf you want to reduce the amount of unsolicited national advertising mail you receive at home, youmay register with DMAC hoice by Mailing this form to the address below. Please include $3 foreach completed form -- check or money order payable to DMA. Please do not send Box 900 Cos Cob, CT 06807No Certified or Registered MailPlease allow 60 - 90 days after Registration to begin receiving less form allows you to enter up to three individuals at the same address (or three variations of yourname at the same address). For separate addresses, please use separate NameFirst: _____ Last: _____Secondary NamesFirst: _____ Last: _____First: _____ Last: _____AddressStreet: _____City/State/Zip code: _____DMA provides the DMAC hoice file to national commercial and nonprofit organizations for the purposeof removing your name and home address from their Mailing lists.

2 (This service does not apply toadvertising mail sent to a business address.) You will continue to receive mail from theseorganizations with which you already do business. Please note that not all organizations useDMAC hoice; therefore, you may continue to receive some mailings, including from localorganizations and political : _____Email address: _____Providing your email address will allow us to contact you when your ten-year Registration periodexpires.