ps6241

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United States Postal Service



Recurring Appointment Request

(A recurring appointment is a mailing that arrives consistently on the same day or days of the week, during the same time period, with approximately the same contents, and using the same form and size of transportation.)



If the mailing contents contain more than one shape or class, complete multiple copies of lines C1 through C6, until all sets of contents are described.



A. Requestor/Mail Owner Information

1. Beginning Date 2. Ending Date 3. Requestor's Name 4. Requester's E-mail Addresss 5. Mail Preparer's ID 6. FAST Scheduler's ID 9. Mail Owner Telephone Number (Include area code) 10. Mail Owner's PostalOne!® Number 7. Mail Owner's Name 8. Mail Owner's Address (No., street, apt.,/ste./p.o. box no., city state, ZIP + 4®)



B. Transportation Information

1. Transportation Company Name 3. Type of Trailer Transporting Mail 4. Size of Trailer Transporting Mail 2. Transportation Company Contact Name 5. Transportation Company Contact Telephone Number (Include area code)



C. Mailing Information

1. Class (Check one) a. Standard Mail b. Periodicals c. Parcel Select® Irregular Parcels d . Machinable e. Parcels BPM/Media Non-machinable Parcels



2. Processing Category (Check all that apply) a. Letters b. Flats c. d.



3. Volume and Containerization a. b. No. Trays ____________________ No. Sacks ____________________ c. d. No. Parcels ____________________ No. Bundles ____________________



4.Number of Pallets Containing: a. Trays _________________ b. Sacks _________________ c. Bundles _________________ d. Parcels _______________



5. Additional Content Information



6. Appointment Type a. Pallet b. b. e. b. Bedload Tuesday Friday Second ________ AM c. c. f. c. Drop and Pick Wednesday Saturday Third ________ PM d. Fourth g. e. Sunday Last d. Speed Line _______ No. of Pallet Positions



7. Day of Week a. Monday d. Thursday



8. Week of Month a. First 9. Time of Day



D. Signature of Requestor

1. Signature 2. Date Signed



E. Approving Facility

1. Name 2. Title For information about our Privacy Policy visit www.usps.com. 3. Appointment Number Assigned



PS Form 6241, February 2005




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