Fillable emca application and payment authorization form

Description
To enroll Credit Card Authorization. I authorize the Postal Service to charge my account for the acceptance of all future Priority Mail Express postage and fees incurred by my organization and myself. Credit Card -- Credit Card Brand -Expiration Date Name on Credit Card Credit Card Holder s Authorizing Signature Credit Card Billing Address if different than above PS Form 5639 July 2013 Page 1 of 2 ACH Payment...
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emca application and payment authorization
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