PS 3602-G

Postage Statement - Penalty Permit Imprint (4/2011)

Download and Print the PS 3602-G

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

Postage Statement - Penalty Permit Imprint

(For Use Only by GPO Contractors at Single Piece Rates)

1. Name and Mailing Address of Agency (Include ZIP Code)

2. Name and Mailing Address of Contractor (Include ZIP Code)

3. Permit Number

4. Serial No. (GPO Form 712)

5. Name and Telephone No. of Agency Employee Most Familiar With the Mailing

6. Name and Telephone No. of Contractor Employee Most Familiar With the Mailing

7. Date & Time Received

8. Number of Sacks, Trays, or Other Containers for Items 14-26 Below

And much more...