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 |
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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 |
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|
Basic Letter Writing Service: |
__________ x $1.00 per page |
= $ _____________ |
|
PLUS |
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|
__________ x $0.10 per word |
= $ _____________ |
Translated Letter Writing Service: |
__________ x $1.00 per page |
= $ _____________ |
(Spanish to English OR English to Spanish) |
PLUS |
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|
|
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__________ 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: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ |
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TOTAL ENCLOSED: |
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= $ ______________ |
** For Delayed Items, Enter the Date to be Remailed: ____________________ |
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Mail Completed Form with your Items to be Remailed and CASH or MONEY ORDER PAYMENT
(We only accept US Postal Money Order or Western Union Money Orders) to:
RADICARIAN LLC, PO BOX 34, OLD TOWN, FL 32680