Print, Fill Out, and Include the Form Below with Your Remail Submission
For more information on any of the services listed below, please visit our How It Works Page!
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| Number of Letters for Basic Remail: |
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x $2.00 Each |
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$_____________ |
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| Number of Packages (over 6oz) for Basic Remail: |
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x $5.00 Each |
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$_____________ |
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| Number of Letters for Delayed Remail*: |
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x $2.00 Each |
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$_____________ |
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| Number of Packages (over 6oz) for Delayed Remail: |
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x $5.00 Each |
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$_____________ |
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| Number of Items To Be Hand Addressed: |
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x $1.00 Each |
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$_____________ |
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| Number of Items Needing Postage: |
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x $1.00 Each |
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$_____________ |
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| Cost of Postage to be Affixed: |
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$_____________ |
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| Online Confirmation Service**: |
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$1.00 per Order |
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$_____________ |
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Total Enclosed:
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= $_____________
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* For Delayed Items, Enter Remail Date: _______________
**For Online Confirmation, Create a 6-Digit Confirmation Number: _______________
Mail Completed Form with Remail Items and Payment (No Personal Checks) to:
Adrienne Hughes
P.O. Box 243
Liberty Hill, Texas 78642
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