in ited States Postal Service

in ited States Postal Service pplication for Delivery of Mall Through Agent ee Privacy Act Statement on Reverse consideration of delivery of my or our (firm) mail to the agent named below, the addressee and agent agree: (1) the addressee or the agent ust not file a change of address order with the Postal Seri/loan, upon termination of the agency relationship; (2) the transfer of mail to another idress is the responsibility of the addressee and the agent; (3) all mail delivered to the agency under this authorization must be prepaid with pm postage when redeposited in the mails; (4) upon request the agent must provide to the Postal Service all addresses to which the agency 3nsfers mail; and (5) when any information required on this form changes or becomes obsolete, the addressee(s) must file a revised ,plication with the Commercial Mall Receiving Agency (CMRA). OTE: The applicant must execute this form in duplicate in the presence of the agent, his or her authorized employee, or