U.S. POSTAL SERVICE®

STAMPS BY MAIL® ORDER FORM

Please fill out clearly and completely.

AREA CODE / DAYTIME PHONE NUMBER

First Name Middle Initial Last Name

Company Name (if applicable)

Mailing Address/PO Box Apt. / Suite

City State Zip + 4 ®

ITEM DESCRIPTION PRICE QTY. COST
1 41c First-ClassTM Rate Roll(s) –
100 Stamps per roll – U.S. Flag / $41.00
2 41c First-ClassTM Rate Booklet(s) –
20 Stamps per Boooklet – Forever Stamp / $8.20
3 2c Stamps – 20 Stamps – Navajo Jewelry* / $.40
4 80c Stamps – 5 Stamps – Mount McKinley** / $4.00
5 17c Stamps – 10 Stamps – Big Horn Sheep*** / $1.70

*May be combined for the $.41 First-Class Rate

**First ounce for Firdt-Class Rate Flat-Sized Mail

*** Additional ounce for First-Class Rate for Letter and Flat Mail.

Expected availability - June 2007

Total Cost of order $ ______

PRIVACY Act Statement: Your information will be used to fulfill your request. Collection is authorized by 39 U.S.C

401, 403, & 404.

PS Form 3227-A − April 2007

©2007 United States Postal Service

Providing the information is voluntary, but if not provided, we may not process your transaction. We do not

disclose your information to third parties without your consent, except to facilitate the transaction, to act on your

behalf or request, or as legally required. This includes the following limited circumstances: to a congressional

office on your behalf; to financial entities regarding financial transaction issue; to a U.S. Postal Service auditor;

to entities, including law enforcement, as required by law or in legal proceedings; and to contractors and other

entities aiding us to fulfill the service (service providers). For more information regarding our privacy policy visit

us at usps.com