New distribution location
Increase number of copies
Decrease number of copies
Delete location

Name of business:
Name of contact: (Required)
Contact phone number:
Contact's email:

Are you the authorized contact for this location?
Yes   No

Is it alright to leave the copies outside if the business is closed?
Yes   No

Street address:
Cross street:
City:
Zip Code:

Number of papers requested:
15   25   50   100   200   Other:

Drop location:
Lobby   Front Door   Rack   Rear Door   Other:

Comments: