Renewal Notice for Annual Fee(s) - USPS
Type of Fee
Business Reply Mail? Annual Permit Fee
Permit Number
Business Reply Mail Annual Account Maintenance Fee
First-Class Mail? Presort Annual Mailing Fee
USPS Marketing Mail? Annual Mailing Fee
Bound Printed Matter Destination Entry Annual Mailing Fee
Customer Registration ID Number (CRID)
Company Name
Renewal Notice for Annual Fee(s)
Period Covered
Fee
(Month/Year ? Month/Year)
Amount Paid
$310.00
$
$910.00
$
$310.00
$
$310.00
$
$310.00
$
Total Amount Enclosed $
Customer Name
Address (Number, street, suite, apt., etc.)
State
ZIP+4?
City Telephone Number (Include area code)
? Verify that the Permit Number column shows the correct number or numbers that apply to your account(s). ? In the Period Covered column, enter the full 12-month period during which you will use the service. ? In the Amount Paid column, enter the fee amount(s) you are paying. ? Enter the total amount paid. ? Make your check payable to Postmaster and mail it to the following address:
POSTMASTER
We appreciate your business. If you have any questions, please call
.
PS Form 3621-A, July 2023
Direct questions to: Business Acceptance Support, Product Solutions at HQMailEntry@ This form is available on the Intranet at
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