Ps Form 1910 - Tag 191, Domestic And International Ballots, Order Form
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1TAG 191, Domestic and International Ballots,
Order Form
Use this form to order Tag 191, Domestic and International Ballots.
CUSTOMER INFORMATION
Requestor’s Name:
Election Jurisdiction Name:
Telephone Number:
Ship to Address:
Address Line 1:
Address Line 2:
City:
State:
ZIP + 4
:
®
ORDER INFORMATION
PSIN: TAG 191
PSN: 7690-10-000-0667
FEDSTRIP: 183A6X
FINANCE #: 670299
Quantity (Increments of 25, e.g., 50, 75, 200)
Send the completed form via email to: mdc.customerservice@usps.gov.
Sample of Tag 191
(images not to scale).
1910
PS Form
, January 2018
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