Ps Form 8184 - National And International Service Center (Isc) Zone Charts Matrix & Labeling Lists Product Order Form

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National and International Service Center (ISC) Zone
Charts Matrix & Labeling Lists Product Order Form
Customer Information
(Please print)
Contact Name
Company Name
Street Address, P.O. Box, Rural/Contract Delivery Service Route and Box Number
City
State
ZIP + 4
®
Code
Email Address
Telephone Number (Include area code)
Fax Number (include area code)
Billing Information
(if different from Customer Information)
Contact Name
Company Name
Street Address, P.O. Box, Rural/Contract Delivery Service Route and Box Number
City
State
ZIP + 4
Code
Email Address
®
Telephone Number (Include area code)
Fax Number (include area code)
National Zone Charts Matrix Product Subscription
Order Option:  New Subscription
 Subscription Renewal
$60.00
The product is available on an annual subscription basis with periodic updates. An annual schedule is available online at
https://ribbs.usps.gov/index.cfm?page=zonecharts.
ISC Zone Charts Matrix Product Subscription
$68.00
Order Option:  New Subscription
 Subscription Renewal
The product is available on an annual subscription basis with periodic updates. An annual schedule is available online at
https://ribbs.usps.gov/index.cfm?page=zonecharts.
Labeling Lists Product Subscription
Order option:
 New Subscription
 Subscription Renewal
$63.00
The product is available on an annual subscription basis with periodic updates. An annual schedule is available online at
https://ribbs.usps.gov/index.cfm?page=labelinglists.
Important Notes
If you plan to replicate one of more copies of either of these products, you must first complete and submit a license agreement along
with the appropriate fees. To obtain a copy of this agreement and registration form, please call 800-238-3150, option 6.
These products are accessible via the Electronic Product Fulfillment (EPF) website. To access, you must complete and submit PS Form
5116, Electronic Product Fulfillment Web Access Request Form. To obtain a copy of PS Form 5116, please call 800-238-3150, option
6. Please see the address/fax information at the bottom of each form for proper submission, as these two forms need to be sent to
different locations. Once both forms are received and processed, an email will be sent to you with notification of website access.
Payment Information
Payment Method
Indicate the method of payment and mail this completed
Make check or money order payable to “United States Postal Service
form and payment to the address below.
®
Please do not send credit card information via email.
Please allow ten business days for processing. Customers
needing assistance may contact the Customer Care
ACH Credit
Check
USPS
®
Money Order
Department at 800-238-3150, option 6. Prices subject to
Visa
American Express
MasterCard
change without prior notice. Returned checks will incur a
Expiration Date:
$30.00 fee.
Card #
/
Mail order form and payment to:
(MM/YY)
ACCOUNTS RECEIVABLE
NATIONAL CUSTOMER SUPPORT CENTER
Authorized Personnel (please print)
UNITED STATES POSTAL SERVICE
225 N HUMPHREYS BLVD STE 501
MEMPHIS TN 38188-1099
Signature
The signature above indicates that signee accepts total responsibility governing
FAX: 901-681-4409
the use of this card and agrees to comply with the terms of the issuer.
8184
Privacy Notice: For information regarding our Privacy Policy, visit
PS Form
, January 2017

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