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PS 3605-R

Postage Statement - Package Services (1/2012)

Download and Print the PS 3605-R

Request may not be processed if the form is incomplete or illegible.

(Bound Printed Matter, Library Mail, Media Mail, Parcel Post, and Parcel Select)

Use this form for all Package Services. Only Library Mail and Media Mail may be combined.

Permit Holders Name and Address and Email Address, If Any


CAPS Cust. Ref. No.


Name and Address of Mailing Agent (If other than permit holder)



Name and Address of Individual or Organization for Which Mailing is Prepared (If other than permit holder)


Post Office of Mailing

Type of Postage

Permit Imprint- Metered

And much more...