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

What Is PS Form 3621-A?

This is a legal form that was released by the U.S. Postal Service (USPS) on August 1, 2021 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2021;
  • The latest available edition released by the U.S. Postal Service (USPS);
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of PS Form 3621-A by clicking the link below or browse more documents and templates provided by the U.S. Postal Service (USPS).

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

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Page background image
Renewal Notice for
Annual Fee(s)
Permit
Period Covered
Type of Fee
Number
Fee
Amount Paid
(Month/Year
Month/Year)
Business Reply Mail
®
$265.00
$
Annual Permit Fee
Business Reply Mail
$800.00
$
Annual Account Maintenance Fee
First-Class Mail
®
$265.00
$
Presort Annual Mailing Fee
USPS Marketing Mail
®
$265.00
$
Annual Mailing Fee
Bound Printed Matter
$265.00
$
Destination Entry Annual Mailing Fee
Customer Registration ID Number (CRID)
$
Total Amount Enclosed
Company Name
Customer Name
Address (Number, street, suite, apt., etc.)
City
State
Telephone Number (Include area code)
®
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
, August 2021
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
®
$265.00
$
Annual Permit Fee
Business Reply Mail
$800.00
$
Annual Account Maintenance Fee
First-Class Mail
®
$265.00
$
Presort Annual Mailing Fee
USPS Marketing Mail
®
$265.00
$
Annual Mailing Fee
Bound Printed Matter
$265.00
$
Destination Entry Annual Mailing Fee
Customer Registration ID Number (CRID)
$
Total Amount Enclosed
Company Name
Customer Name
Address (Number, street, suite, apt., etc.)
City
State
Telephone Number (Include area code)
®
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
, August 2021
PSN 7530-02-000-8210