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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