Get USPS PS 3541-1 2021-2024

Privacy Notice For information regarding our Privacy Policy visit www. usps. com. USPS Use Only Name and Telephone Number of Contact Person in Publisher s Office Round Stamp Required Payment Date Round off to 4 decimal places if necessary Time AM USPS Employee s Signature Print USPS Employee s Name PS Form 3541-1 April 2016 Page 1 of 8 PSN 7530-07-000-6222 PM Owner or Agent s Signature Post Office Computed Weight per Copy To be completed in non-PostalOne sites Certification Add Total In-County Postage and Total Outside-County Postage This form and mailing standards are available on Postal Explorer at pe. 001 Periodicals In-County Subtotal Line A18 minus A19 0. 175 A21 Ride-Along Pieces Part A Total Add lines A3 A20 and A21 Postmaster Report in AIC 224 Part B For Nonprofit Classroom All commingled nonsubscriber or nonrequester copies over the 10 limit must pay regular prices use a separate PS Form 3541. United States Postal Service Post Office Note Mail Arrival Date Time Do Not Round-Stamp Postage Statement - Periodicals One Issue or One Edition Unless Used as a Consolidated Statement Mailing Agent s Printer or Consolidator Name Address Telephone Number and Email Address if Any Entry Post Office Name State and ZIP 4 Mailer Publication Title and Owner or News Agent s Name CAPS Customer Ref* No* Printer/Consolidator Imprint Permit No* CRID Mailing Applicable Parts Completed Statement for bundles/ Price Category select all that apply containers only Classroom If Applicable A B-E F Regular Nonprofit Science-of-Agriculture Publication No* Edition/Code Mailer s Mailing Date Issue Date Issue Frequency Statement Sequence No* Combined Mailing Mixed Class Single Class Processing Category Letters Flats Consolidated Postage Statement Yes No* of Addressed Pieces Excluding Addressed Supplements No Number of Addressed Supplements In-County Outside-County Parcels Weight of a Single Ride-Along piece Weight per Copy for Issue Round off to 4 decimal Advertising Percentage in This Issue places if necessary. pounds Number and Type of Containers. Enter total number of Trays Sacks Pallets 0. lb. For Automation Pieces Enter Date of Address Matching and Coding For Carrier Route Pieces Enter Date Date of Carrier Route Sequencing For pieces bearing a simplified address enter date of delivery statistics file or alternative method Part A - In-County Prices Total Part A page 2 Postmaster Report total Part A postage in AIC 224 Total Part B Page 3 Postage Part B - Outside-County Pound Prices Subtotal Parts B C D and E Preferred Price Discount - Nonprofit Classroom Limited Circulation Limited Circulation Science of Agriculture Add line B19 and parts C D and E Totals X. 05 all others enter zero - Subtract the Preferred Price Discount from the Outside-County Postage Total Outside-County Postage Postmaster Report total Outside-County postage in AIC 135 Total Postage AIC 224 AIC 135 The signature of the owner of the publication certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing subject to appeal* If an agent signs this form the agent certifies that he or she is authorized to sign on behalf of the owner of the publication and that the owner of the publication is bound by the certification and agrees to pay any deficiencies.