The document is a request form for Arkansas tax preparers to receive the Arkansas Package A, which contains commonly used Arkansas individual, corporate, and withholding tax forms. It provides instructions for tax preparers to order up to 3 packages for a postage fee, which also includes a complimentary CD of state tax forms. The form collects the requester's contact information and amount of packages ordered so they can receive the packages in the mail along with payment for postage.