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U.S POSTAL SERVICE STAMPS BY MAIL ORDER FORM

Part II Blank Forms POSTAL SERVICE STAMPS BY mail ORDER FORMP lease fill out clearly and NameCompany Name (if applicable)Mailing Address/PO BoxCity141c First-ClassTM Rate Roll(s) 100 STAMPS per roll Flag41c First-ClassTM Rate Booklet(s) 20 STAMPS per Boooklet Forever Stamp2c STAMPS 20 STAMPS Navajo Jewelry*17c STAMPS 10 STAMPS Big Horn Sheep** *May be combined for the $.41 First-Class Rate **First ounce for Firdt-Class Rate Flat-Sized mail ** Additional ounce for First-Class Rate for Letter and Flat mail . Expected availability - June 200780c STAMPS 5 STAMPS Mount McKinley** +4 Middle linitialLast NameITEM DESCRIPTIONPRICEQTY. COST$ $ $ $ Cost of ORDER $$.

Part II • Blank Forms 465 U.S POSTAL SERVICE® STAMPS BY MAIL ® ORDER FORM Please fill out clearly and completely. First Name Company Name …

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Transcription of U.S POSTAL SERVICE STAMPS BY MAIL ORDER FORM

1 Part II Blank Forms POSTAL SERVICE STAMPS BY mail ORDER FORMP lease fill out clearly and NameCompany Name (if applicable)Mailing Address/PO BoxCity141c First-ClassTM Rate Roll(s) 100 STAMPS per roll Flag41c First-ClassTM Rate Booklet(s) 20 STAMPS per Boooklet Forever Stamp2c STAMPS 20 STAMPS Navajo Jewelry*17c STAMPS 10 STAMPS Big Horn Sheep** *May be combined for the $.41 First-Class Rate **First ounce for Firdt-Class Rate Flat-Sized mail ** Additional ounce for First-Class Rate for Letter and Flat mail . Expected availability - June 200780c STAMPS 5 STAMPS Mount McKinley** +4 Middle linitialLast NameITEM DESCRIPTIONPRICEQTY. COST$ $ $ $ Cost of ORDER $$.

2 40 DETACH HEREAREA CODEDAYTIME PHONE NUMBERPRIVACY Act Statement: Your information will be used to fulfill your request. Collection is authorized by 39 , 403, & form 3227-A April 2007 2007 United States POSTAL ServiceProviding the information is voluntary, but if not provided, we may not process your transaction. We do notdisclose your information to third parties without your consent, except to facilitate the transaction, to act on yourbehalf or request, or as legally required. This includes the following limited circumstances: to a congressionaloffice on your behalf; to financial entities regarding financial transaction issue; to a POSTAL SERVICE auditor;to entities, including law enforcement, as required by law or in legal proceedings; and to contractors and otherentities aiding us to fulfill the SERVICE ( SERVICE providers).

3 For more information regarding our privacy policy visitus at 46511/15/07 3:23:38 PM11/15/07 3:23:38 PM


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