Mailing Lists for Potential Students

Download printable form (PDF)

Course Directors may purchase the mailing information for certified occupational hearing conservationists by using this form (or the PDF version in the upper left corner). You must indicate what date range you are selecting (e.g., a technician who needs to recertify in the next 6 months or over the next 12 months, or all currently certified over a 5 year range); what state or neighboring states OR what zip code ranges (e.g., the first 3 digits of a geographic area - Milwaukee downtown = 532).

These names are for a one-time use only and may be ordered as a self-adhesive label or electronic textfile.

You must include a copy of the mailing/marketing piece before approval can be granted.

Contact Name:*
Street Address:*

Title or Description of material(s) to be mailed - SAMPLE MUST BE INCLUDED WITH REQUEST.*

If submitting request online, sample must be attached below or submitted as an e-mail attachment to Sample should be in PDF, Word or WordPerfect format. Use your name and "Marketing Data Request Sample" in the subject line of the e-mail.

Sample File:

Type of Label:* Self-adhesive labels Electronic textfile
Sorting Criteria:* State Zip Code Alpha name
Selection Criteria:* Certified OHC - Date of Expiration:
State(s) and/or zip codes requested:*

FEE: COMPUTER SET-UP/$25.00 + LABEL/ $. 15 EACH (To be invoiced)

The information given through the Council for Accreditation in Occupational Hearing Conservation data labels is for a one-time only use. These labels may not be duplicated in any fashion.

Allow 10 business days for delivery.

The product or service announced to CAOHC Course Directors, Council Members and or Occupational Hearing Technicians via this one-time label use does not imply CAOHC endorsement and makes no representations, warranties or guarantees and assumes no responsibility for the products or services provided. CAOHC disclaims all liability for damages of any kind arising out of the use or performance of the products or services being promoted.

You may submit this form online or print and mail or fax this request to:
555 E. WELLS ST, Suite 1100, MILWAUKEE, WI  53202-3823  FAX: 414/276-2146

Inquiries may be made to Kim J. Breitbach at 414/276-5338 or e-mail:

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