Usps Application For Reentry Or Special Price Request For Periodicals Publication (Page 2 of 2) in pdf

Usps Application For Reentry Or Special Price Request For Periodicals Publication Page 2

Part C. Applicant Signature

8. Applicant’s Name (print)

9. Applicant’s Title (print)

10. Date

11. Applicant’s Signature (print)

12. Applicant’s E-mail (print)

13. Telephone Number (Include area code)

Part D. Postmaster

Review the application and identification statement for accuracy and completeness; collect the applicable fee(s). (Do not collect a

fee if application is only for special Periodicals prices.)

Sign and date the form. Use the comments block to note any additional information necessary for review of this application. Be

sure to include a telephone number where you can be reached if there are questions about the application. Provide a copy of the

completed application to the publisher. Note: If you are serving as the Centralized Acceptance Post Office for this publication,

complete 14b.

C. For applications for reentry, forward a copy of the completed form with a single copy of the revised publication to the Pricing and

Classification Service Center (PCSC). This copy will not be returned to your office.

PRICING AND CLASSIFICATION SERVICE CENTER

PO BOX 3510

NEW YORK NY 10008-3510

D. You will be notified of the ruling on the application by letter.

14. a.

Postmaster’s Comments (Attach additional sheets if necessary)

15. Amount of Fee Collected and Date Paid

If you are serving as the Centralized Acceptance Post Office for this publication,

check this box and complete the city, state, and ZIP+4 information below.

City

State

ZIP+4

18. Telephone Number (include area code)

16. Signature of Postmaster

17. Date

19. Name of Employee to Contact With Questions Concerning the Application (print) 20. Employee’s e-mail (print)

3510,

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PS Form

December 2014 (Page 2 of 2)

Usps Application For Reentry Or Special Price Request For Periodicals Publication Page 2