Designate mailing request

Here is a sample mailing request:

Mailing Request Form

Requestor's Information:

Mailing Request:

Mailing Details:

Additional Information:

Payment Information:

Signature:

Signature: __ Date: ___

Please note that this is just a sample and you may need to modify it to fit your specific needs. Additionally, you may want to include additional information such as a return address or a tracking number.