Purchase a Mailing List

All sections of the form are mandatory and must be completed to process the request. The mailing list will contain physical addresses only and will be sent as an Excel Spreadsheet via e-mail. Licensee email addresses and phone numbers are not included. Please allow 2-3 business days for processing. If you have any questions, you may contact the board office at (775) 746-4101.

Mailing List Request Fee: $50.00

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Customer Billing Information

Please enter your information exactly as it appears on your credit card statement.


Name
Address
City	State	ZIP Code
Phone Number	Email

Customer Shipping Information

Please provide the recipient shipping information below.


Name
Phone Number	Email Address
Please provide any additional instructions below.