Ps Form 3541-Mw - Periodicals Monthly Data Collection Worksheet

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Periodicals Monthly Data Collection Worksheet
Publication Number:
Title:
Frequency:
Month & Year:
First day of mailing:
Last day of mailing:
Date received
Mailing Date
Issue Date
Presort Report Marked Copy Ad % Weight of one copy Comments
Total Weight
Average Weight
See BMA Compliance Job
Aid 12-M for instructions on
the use of this form.
Total Advertising
Ad Average
3541-MW,
PS Form
March 2012 (Page 1 of 1)
PSN 7690-16-000-7937

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