Rapid Remailer Remailing Form

Please print this form, fill it out and enclose it with your items to be remailed.

Number of LETTERS for Basic Remail Service:

__________ x $2.00 Each

= $ _____________

Number of PACKAGES for Basic Remail Service:

__________ x $5.00 Each

= $ _____________

Note – Packages are all items over 6 oz in weight

 


 


Number of LETTERS for Delayed Remail Service:

__________ x $2.00 Each

= $ _____________

Number of PACKAGES for Delayed Remail Service:

__________ x $5.00 Each

= $ _____________

Note – Packages are all items over 6 oz in weight

 


 


Basic Letter Writing Service:

__________ x $1.00 per page

= $ _____________

 


PLUS

 


 


__________ x $0.10 per word

= $ _____________

Translated Letter Writing Service:

__________ x $1.00 per page

= $ _____________

(Spanish to English OR English to Spanish)

PLUS

 


 


 


 


__________ x $0.10 per word

= $ _____________

Please Note: For letter writing services the fees are BOTH $1.00 PER PAGE and then the appropriate amount per word. The per page fee is to cover our paper and envelope costs. $0.10 per word normal, $0.20 translated.

Number of Items To Be Hand Addressed :

__________ x $1.00 Each

= $ _____________

Number of Items Needing Postage :

__________ x $1.00 Each

=

$ _____________

Cost of Postage to be Affixed (if need):

 


=

$ _____________

Remail From City (Old Town is FREE for other cities TOTAL is for of all items not per piece):

[

]

Old Town, Florida

(NO CHARGE)

[

]

Chiefland, Florida

($10.00 Fee)

[

]

Cross City, Florida

($20.00 Fee)

[

]

Steinhatchee, Florida

($30.00 Fee)

[

]

Otter Creek, Florida

($30.00 Fee)

[

]

Trenton, Florida

($30.00 Fee)

[

]

Suwannee, Florida

 ($35.00 Fee)

[

]

Bronson, Florida

($40.00 Fee)

Online Confirmation Number (6 – 12 Digits Write Below)

$1.00 Per Order

= $ _____________

CONFIRMATION NUMBER: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

 


TOTAL PAYED BY PAYPAL:

 


= ______________

** For Delayed Items, Enter the Date to be Remailed: ____________________

 



What was the date/time/amount of the Dollars sent? _________________________

Mail This Form to:   RADICARIAN LLC, 25878 SE HWY 19, OLD TOWN, FL 32680