Apply For a Regular Membership with AAPS

Company Name:
Parent Company:
Email:
Phone:
Fax:
Mailing Address:
Shipping Address:
Year Established:
Contact:
Contact Title:
Principle Areas Served Weekly:
Avg. Number of Unduplicated Homes Delivered to Weekly:
Type of Delivery System:	Carrier Routed Crew Other (Please Explain)
Method of Delivery (Percentage):	% Placed on Porch % Door Knob Hung in Plastic Bag % Thrown In Driveway % Placed in Company Owned Tube % Delivered with Daily Paper % Delivered with Weekly Paper
Type of Delivery Agent:	Adult Supervised Youngsters
Delivery Days:	As Customer Requests Specific Days, which are
Customer May Select:	Zip Codes Demographic Areas Customer Designed Delivery Areas
Other Services Available:	Printing Mailing In-Store Display Advertising Other
Submitted By: