Usps Service International Mail Services Charge-Back Form

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Mail Services Charge-back Form
Account # : _______________________________________ _____ Date : __________________________
Department : _____________________________________ _____ Phone # : ___________________
USPS Service
Special Services
Pieces
First Class
________
Certified _____
Return Receipt ____
(1
Class Mail over 13 ounces)
Priority Mail
________
st
(Books, CD’s, Bound Publications)
Media Mail
________
(Library to Library Material)
Library Mail
________
(200 pieces or more per mailing)
Non-Profit (permit)
________
(200 pieces of more per mailing)
First Class Permit Imprint
________
Stamps
________
International Mail
Letter
________
__________________________________________________
Director/Project Manager Signature
Mail Services Charge-back Form
Account # : _______________________________________ _____ Date : __________________________
Department : _____________________________________ _____ Phone # : ___________________
USPS Service
Special Services
Pieces
First Class
________
Certified _____
Return Receipt ____
(1
Class Mail over 13 ounces)
Priority Mail
________
st
(Books, CD’s, Bound Publications)
Media Mail
________
(Library to Library Material)
Library Mail
________
(200 pieces or more per mailing)
Non-Profit (permit)
________
(200 pieces of more per mailing)
First Class Permit Imprint
________
Stamps
________
International Mail
Letter
________
__________________________________________________
Director/Project Manager Signature

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