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PS 5052

Printer Certification Submission (7/2008)

Download and Print the PS 5052

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

Customer Information

1. Company/Customer Name

2. Date

3. Company Web site

4. Street Address (No., street, ste. no., city, state, ZIP + 4®)

5. Point(s) of Contact

6. E-mail Address of Company Point(s) of Contact

7. Phone Number and Extension

8. Fax Number

9. Mailer ID

One Printer Certification Form must be completed for each site that will be printing labels

1. Are you applying for electronic file certification and printer certification?  Yes - No

2. Are you applying for printer certification only?  Yes  -  No

And much more...