PS 5114

Barcode Certification Printer Submission Form (10/2010)

Download and Print the PS 5114

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

Certifi cation Program (Check the applicable certification program)

Delivery Confirmation™
Express Mail®
Flat Container Label
International Customs
Parcel Barcodes
Parcel Return Services (PRS)
Sack Container Label
Signature Confi rmation™
Special Services
Tray Container Label

Customer Information (Please Print)

Company Name
Customer Identifi cation Number (Mailer ID)
Contact Name
Street Address (P.O. Box, Rural/Hwy Contract, or Route Number) Apt/Suite
City State ZIP + 4®
Telephone Number (Include area code) Fax Number (Include area code) Email Address
Signature of Contact Person Date

And much more...