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PS 3615

Mailing Permit Application and Customer Profile (1/2012)

Download and Print the PS 3615

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

Mailing Permit Application and Customer Profile

Instructions available on reverse

Two forms of identification are required when submitting this application. One form of ID
must contain a photograph of the applicant(s).

The applicant must enter the two ID numbers on line 8a and line 8b which is subject to verification
by the postal employee completing the application.

Social Security cards, credit cards and birth certificates are not acceptable forms of identification.

A. Applicant Information (Please print or type requested information)

1. Mail Owner (Individual or Company Name)

2. Date

3. Applicant's Signature *(See Privacy Notice below)

4. Email Address (required if known)

5. Address (Street and number, apt. or suite no., city, state, and ZIP + 4®)

6. Other Names Under Which Company Does Business (If applicable)

7. How Can We Contact You?  Telephone -  Email - Mail

And much more...