By filling out the form below and faxing to MESCA FREIGHT SERVICES; you will be eligible for significant freight discounts based on the groups purchasing power. MESCA FREIGHT PROGRAM - 75% DISCOUNT Please print, fill out the application below and fax to FAX:(207) 623-4978 APPLICATION: DATE:______________ Please check, which applies: Corporation ___ Individual ____ Trade Association _____ Co-operative____ Other_________ COMPANY NAME: ________________________________________________________ MAILING ADDRESS: ________________________________________________________ __________________________________________________________________________ SHIPPING ADDRESS: ________________________________________________________ __________________________________________________________________________ BUSINESS PHONE:_________________________ FAX NO.__________________ e-mail address:______________________________ Web Site:__________________ CONTACT PERSON: ________________________________________________________ APPLICATION FEE: WAIVED FOR NARDA MEMBERS DBA NAMES AND/OR OTHER LOCATIONS __________________________________________________________________________ __________________________________________________________________________ COMMENTS:____________________________________________________________________ REFERRED BY: NARDA Savings - The Buying Group I authorize MESCA Freight Services to negotiate freight rates & discounts on our behalf. Signature__________________________ Title:______________________ Date:____________ SEND TO: MESCA FREIGHT SERVICES Fax to 207-623-4978 ATTN: Jim Gunning NO NEED TO FILL OUT THE FORM BELOW ---------------------------------------------------------   Company: Asociation: NARDA FREIGHT Contact First Name: Contact Last Name: Address 1: Address 2: City: State: Zip: Phone: ext Email: Number of Employees: 1 - 10 11 - 50 51 - 100 101 - 500 501 - 1000 1001 + Number of Offices: Freight Shipments/Month: -- Choose One -- 0 1-5 6-50 50+ Vehical Fleet: -- Choose One -- 1-14 15-50 50+ Please contact me about savings in the following areas: To select more than one, hold down the control key. Office Supplies/ Furniture/Printing - Staples Credit Card Processing - RBS WORLDPAY Moving & Storage - PODS: Portable On Demand Storage Cellular - Wireless - NEXTEL,T-MOBILE,VERIZON,CINGULAR Phone/Data Services - Presidio Networked Solutions Collection Agency - Credit Reporting - NCO Financial Systems / Experian Shipping - LTL Freight - MESCA Freight Services Telecom Auditing - Global Solutions Inc. Travel - Priceline.Com Vehicle Fleet Leasing and Maintenance - EMKAY Health Insurance - Employer Sponsored - Assurant Health Plans Human Resource Solutions - Gevity Payroll Processing - ADP Pre Employment/DMV Background Check - HR Screening Inc. Supplemental Health Insurance - AFLAC Executive Coaching - John McKee Tax Credits for New Hires - HR Screening Inc. Wellness 360 - Getting Paid for being Healthy Payroll Services & HR Outsourcing Solutions- Canada - Payworks AWeber - Email Marketing Software Customized Printing - Vistaprint Online Office Tools - WebEx Website Development - the jestus company Marketing Services - Bolen Communications Flowers & Gifts - 1-800-FLOWERS.COM Wellness 360 - Getting Paid to be Healthy? Cellular Communications - NEXTEL,T-MOBILE,VERIZON,CINGULAR Moving & Storage - PODS: Portable On Demand Storage Travel - Priceline.Com Dell - Computers Health Insurance Plans - non employer sponsored - Assurant Health Electronics Recycling-Disposal - CeXchange Accept Agreement: I have read and agree to the terms of this agreement.   Employees   1 - 10   11 - 50   51 - 100   101 - 500   501 - 1000   1001 +

Contact: Mark Schiavone E-mail: info@thebuyinggroup.com Phone: 941-330-8050 Fax: 253-645-4925

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