List Rental/Exchange Agreement
After submission of order for list rental or exchange, the following is required, which may be faxed to 914-967-3054:
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Submit the mailing piece, which may be in comp or sketch form, for review and approval.
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Complete the below information.
 Rental Exchange
Company/Mailer Name__________________________________________
Promotion_____________________________________________________
Address_______________________________________________________
Phone____________________________Fax__________________________
E-Mail_________________________________________________________
Broker/Agency__________________________________________________
The following terms and conditions are applicable to the rental or exchange of Health Care Communications’ mailing list.
1. The names furnished are for one-time use only and may not be copied, duplicated, or reproduced in any form.
2. The list may only be used for the above-mentioned promotion, which has been submitted and approved.
3. E-mail, fax, or telephone solicitation of the names is not permitted.
4. If supplied electronically, the list may not be transferred to any computer file for use beyond the one-time use spelled out herein.
5. The mailer agrees that, upon Health Care Communications’ request, its own mailing list will be made available to Health Care Communications for use in promotion of its products. This will be done on the basis of
Rental Exchange Not applicable, already executed.
6. The mailer shall indemnify and hold harmless Health Care Communications against any claim, damage, expense, liability, or obligation incurred by reason of use of this list.
Company/Mailer Representative (type or print)___________________________________
Signature_____________________________________________
Title_______________________Date_____________________
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