United States Postal Service Personalized Envelope Order Form
Download a blank fillable United States Postal Service Personalized Envelope Order Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete United States Postal Service Personalized Envelope Order Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Reset Form
United States Postal Service
Personalized Envelope Order Form
DO NOT STAPLE OR ATTACH CLIPS
Boxes of 500
Printing of Upper Left-Hand Return-Only Address (Not addressee)
Denom-
Item
No.
Price
Description
Size
=
Cost
x
ination
No.
Boxes
per Box
10
$ .41¢
212390
$228.00
$0.00
Horses
9
.41¢
212590
228.00
Horses
$0.00
(Security)
Horses
6 3/4
.41¢
262390
225.00
$0.00
10
.41¢
212490
228.00
Horses
$0.00
(Window)
9
.41¢
212690
228.00
Horses
(Security/Window)
$0.00
Horses
6 3/4
.41¢
262490
225.00
(Window)
$0.00
10
.08¢
215190
48.00
Nonprofit Sheep*
$0.00
Daytime Telephone (Include area code)
6 3/4
.08¢
262790
45.00
Nonprofit Sheep*
$0.00
6 3/4
.08¢
262890
45.00
Nonprofit Sheep
$0.00
(Window) *
Ship to Address (If different from above). Must Include Full Name and Address.
10
.08¢
215290
$ 48.00
Nonprofit Sheep
*
(Window)
$0.00
* Must Meet Postal Requirements for This Category
0.00
Subtotal
$
Shipping & Handling Charge
(Max. charge $12.60 for each address printed)
Shipping
One Box
$ 8.60
& Handling
Two or More Boxes
$ 12.60
TOTAL
$
0.00
Boxes of 500
Boxes of 50
Printing of Upper Left-Hand Return-Only Address (Not addressee)
Denom-
Item
No.
Price
=
x
Size
Cost
Description
ination
No.
Boxes
Per Box
10
$ .41¢
212395
$ 24.75
0.00
$
Horses
9
.41¢
212595
24.75
Horses
$0.00
(Security)
6 3/4
.41¢
262395
24.75
$0.00
Horses
10
.41¢
212495
24.75
$0.00
Horses
(Window)
.41¢
9
212695
24.75
$0.00
Horses
(Security/Window)
6 3/4
.41¢
262495
$ 24.75
Horses
(Window)
$0.00
Daytime Telephone (Include area code)
$
$0.00
Subtotal
Fee
Quantity
Ship to Address (If different from above). Must Include Full Name and Address.
1 box
$ 4.60
Shipping
& Handling
2 boxes
6.00
3 boxes
7.00
TOTAL
0.00
$
Boxes of 50
4 boxes
8.00
5 boxes
10.00
6 boxes
10.50
7 boxes
11.50
8 boxes
12.00
9 boxes or more
$12.60
Total Enclosed and Method of Payment
*** NOTE: An insufficent payment will result in either a reduced shipment, or your order being returned. ***
ID#__________________________________
Make check or money order
TOTAL
$
0.00
(do not send cash) payable to
Boxes of 500
Phone or fax orders:
Please allow 3-4 weeks
US Postal Service
TOTAL
and mail to:
for delivery of your order. In order to request expedited
$0.00
Boxes of 50
STAMP FULFILLMENT SERVICES
delivery orders, there will be an additional shipping
US POSTAL SERVICE
Shipping &
$0.00
fee. Please contact 1-800-782-6724 and request the
PO BOX 7247
Handling Fee
PHILADELPHIA PA 19170-7103
cost for Express or Priority service fees.
GRAND TOTAL
$
0.00
or:
Fax your order to 816-545-1212
Charge to my:
Discover
VISA
MasterCard
American Express
Diner's Club
Mo.
Yr.
Credit Card No.
Exp. Date:
I authorize the Postal Service™ to adjust
Signature
credit card payment if necessary
(Required)
3203-X,
This form available at
PS Form
May 2007
Print Form
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life