(date)  
   
  Mail Preference Service  
  Direct Marketing Association  
  P.O. Box 643  
  Carmel, N.Y. 10512  
   
  To Whom It May Concern:  
   
  I am writing to register with your Mail Preference Service. Please inform your members that I do not want my name sold to any company for the purpose of placing me on the mailing list and sending me advertising mail.  
   
  In addition, I would like my name removed from existing lists.  
   
  Thank you very much for your help.  
   
  Sincerely,  
   
  (your name)