PS Form 3621-А Renewal Notice for Annual Fee(S)

PS form 3621-А is a U.S. Postal Service (USPS) form also known as the "Renewal Notice For Annual Fee(s)". The latest edition of the form was released in January 1, 2018 and is available for digital filing.

Download an up-to-date PS Form 3621-А in PDF-format down below or look it up on the U.S. Postal Service (USPS) Forms website.

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Renewal Notice for
Annual Fee(s)
Permit
Period Covered
Type of Fee
Number
Fee
Amount Paid
(Month/Year
Month/Year)
Business Reply Mail
®
$225.00
$
Annual Permit Fee
Business Reply Mail
$690.00
$
Annual Account Maintenance Fee
First-Class Mail
®
$225.00
$
Presort Annual Mailing Fee
USPS Marketing Mail
®
$225.00
$
Annual Mailing Fee
Bound Printed Matter
$225.00
$
Destination Entry Annual Mailing Fee
Customer Registration ID Number (CRID)
$
Total Amount Enclosed
Company Name
Customer Name
Address (Number, street, suite, apt., etc.)
City
Telephone Number (Include area code)
State
®
ZIP+4
£
Verify that the Permit Number column shows the correct number or numbers that apply to your account(s).
£
In the Period Covered column, enter the full 12-month period during which you will use the service.
£
In the Amount Paid column, enter the fee amount(s) you are paying.
£
Enter the total amount paid.
£
Make your check payable to Postmaster and mail it to the following address:
POSTMASTER
We appreciate your business. If you have any questions, please call
.
3621-A
PS Form
, January 2018
PSN 7530-02-000-8210
Renewal Notice for
Annual Fee(s)
Permit
Period Covered
Type of Fee
Number
Fee
Amount Paid
(Month/Year
Month/Year)
Business Reply Mail
®
$225.00
$
Annual Permit Fee
Business Reply Mail
$690.00
$
Annual Account Maintenance Fee
First-Class Mail
®
$225.00
$
Presort Annual Mailing Fee
USPS Marketing Mail
®
$225.00
$
Annual Mailing Fee
Bound Printed Matter
$225.00
$
Destination Entry Annual Mailing Fee
Customer Registration ID Number (CRID)
$
Total Amount Enclosed
Company Name
Customer Name
Address (Number, street, suite, apt., etc.)
City
Telephone Number (Include area code)
State
®
ZIP+4
£
Verify that the Permit Number column shows the correct number or numbers that apply to your account(s).
£
In the Period Covered column, enter the full 12-month period during which you will use the service.
£
In the Amount Paid column, enter the fee amount(s) you are paying.
£
Enter the total amount paid.
£
Make your check payable to Postmaster and mail it to the following address:
POSTMASTER
We appreciate your business. If you have any questions, please call
.
3621-A
PS Form
, January 2018
PSN 7530-02-000-8210

Download PS Form 3621-А Renewal Notice for Annual Fee(S)

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