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Data Request Form
Data Type, Size and Quantity
Please enter the number of prints you'd like in the box to the left of the name. Choose the type from the drop down menus.
Quantity
Resident Tax Data (2 diskettes) - $50.00 Excel only
Data includes: Last name (20 char), First name (15 char), House # (5 char), House Ext. (5 char) & Street name (20 char). City, State & Zip are implied to be Salem, NH 03079.
Voter Registration Data (2 Diskettes) - $50.00 Excel only
Data includes: Last name (20 char), First name (15 char), House # (5 char), Street name (20 char), Apt# (12 char), PO Box (20 char), City (12 char), State (2 char), Zip (9 char) & Party (1 char).
Dog License Data (1 Diskette) - $25.00 Excel only
Data includes: Owner Last name (20 char), Owner First name (15 char), Owner Address (23 char), Owner City (15 char), Owner State (2 char), Owner Zip (9 char), License Expiration YR (4 char), License # (5 char), Breed 1 (20 char), Breed 2 (20 char), Dog Name (20 char), Dog Color (20 char), Dogs Sex (1 char) & Party (1 char).
Registered Voter Listings (Report) - $25.00
Report Sorted by Voter Name
Report Sorted by Road Name/Voter Name
Report Sorted by Party/Voter Name
Report Sorted by Area/Voter Name
Report Sorted by Area/Road Name/Voter Name by Selected Party (must complete line below)
Report Sorted by Area/Party/Voter Name
Report: New Voters from a selected date and Party (must complete line below)
Report: Sorted By Road/Selected Party (must complete line below)
Voter Labels (1 per household)
Labels Sorted by Street/Name (all parties) - $75.00
Labels Sorted by Street/Name (1 party) - $30.00 (must complete line below)
Labels Sorted by Area/Street/House #/Name (all parties) - $75.00
Labels: New Voters from a Selected Date and Party - $30.00 (must complete line below)
Dog License Listing
Report Sorted by Owner Name (Current year) - $25.00
Report Sorted by Owner Name (Prior year) - $25.00
Labels Sorted by Owner Name (Current year) - $50.00
Labels Sorted by Owner Name (Prior year) - $50.00
Resident Listing (no Date of Birth)
Report Sorted by Name - $40.00
Labels Sorted by Name - $75.00
Labels Sorted by Street (1 per household) - $75.00
Date (mm/dd/yyyy):
Party:
Contact Information
Name
Street Address
Town/City
State
Zip Code
Telephone
E-mail
Preferred Pickup Date
Complete your order:
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