Service Request Form - Send data files by mail

DataMail Service Request Form

The information you submit will be treated as confidential and strictly for the purpose of providing you with DataMail service. Your information will not be shared with 3rd parties. Your uploaded data files will go to a server compliant to HIPAA, AICPA SOC 2, PCI DSS, CJIS, FIPS, DFARS, GDRP, FedRAMP, and ISO 27001.

First Name

Last Name(Required)

Address 1

Address 2

City

State

Zip / Postcode

Email(Required)

Phone

What is the total size of the files you will send?(Required)

How many recipients?(Required)

Estimated cost excluding tax

Will all recipient addresses receive the same file?

Yes

Comments

Consent(Required)

I am not sending files containing illegal, pornographic, or any unauthorized copyrighted material.

https://pcigroup.com/privacy-policy/(Required)

DataMail will use the information you provide on this form to contact you. By submitting this form you are confirming that you have read our Privacy Policy