Tell us how to get in touch with you:
Your personal data will be kept strictly CONFIDENTIAL and will NOT be shared with any other party
or mailing list.  This information is restricted for our use and not intended for any other purpose.

Name:
Title:
Company:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
E-Mail:

          Please describe your type of industry and products in the space 
          provided below:

We are interested in (Please check all that apply):
  Full Service Marketing Support
            
 If you are not interested in full service marketing support, please 
 select  the a la carte service you are interested in below:
  Advertising    
  Specialty Advertising  
  Trade Show Management  
  Trade Show Graphics  
  Trade Show Displays    
  Photography
  Brochures/Data Sheets/Catalogs  
  Press Releases          
  New Product Releases           
  Large Format Posters and Banners
  Web Site Design/Hosting/Administration

or write to:
JLS Consultants
30 Crescent Street
Hicksville, New York 11801       
or call us at:
Tel: 516-681-5923