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Postage Memo Request Form

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Department name to appear on postage slips:

Banner index to appear on postage slips:  


Number of copies needed:

Contact person:  
Contact e-mail:
Phone extension:
Delivery building:  
Room number:  
Note: Postage Memo Slips are provided complimentary of Postal Services (at no expense to departments). After submitting you request, Postage Memo slips are provided within 24-48 business hours.