NOTE: All fields are required information.
             This form is NOT for scheduling a Bulk Mailing,
             go to  SCHEDULE BULK MAIL FORM.

  Date:         Name:  

  Phone Number:  

  Your Department:  

  Your Location:  

  Your Email Address:  

  I would like to:      (please request 24hrs. prior to your regular mail pickup)

    YES / NO    Request  Inner-Office envelopes, number

    YES / NO    Schedule a Large Delivery to be brought to
                                   my office

    YES / NO    Schedule a Large Package/Mail Pick Up from
                                  my office

                      # of pieces to be mailed ,  or
                      # of Packages to be mailed ,  or
                      # of pieces to be picked up ,  or
                      # of Packages to be picked up ,  or

                      requested date of pickup ,    

                      do any of the envelopes need to be sealed?
                     YES / NO

                      Bulk Mailing # , if this is a return stuffed
                      bulk mailing
     
      YES / NO   Is this mailing for a Fund Raiser?

   Other Mail Services needed, please describe; 

          

          Operations Use: 
                                  Mail Services Assignment  #_______________