Please complete the following information and return to your local post office which services your area:
Name:
(Last)___________________________ (First)__________________________
(Middle Initial)_____
Street address: ___________________________________________________________________
City: _________________________________ State:_________________ ZIP Code:__________________________
Is your residence a new construction? _____________ Is it an existing address? ______________
Do you have any neighbors living in your surrounding area? ______________
Do you rent a P.O. box at your local post office? _______________
If yes, what is your P.O. Box address? _______________________________
City: ______________________________ State: ____________ ZIP code: _______________
Please sketch your street location, including your neighboring streets below: