NCOALink ® Processing Acknowledgment Form (PAF)

Due to the Privacy Act of 1974, the USPS® is required by law to collect the information on the Processing Acknowledgment Form. When information provided through the NCOALink Service is released, the USPS must maintain records of all to whom the information was disclosed.

* All fields required unless indicated otherwise.

List Ownership
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List Owner Contact Information
First name:
Last name:
Title:
Phone:
Email:
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Company Information
Company:
Parent company: (optional)
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Marketing or DBA company: (if applicable)
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Website: (optional)
NAICS:
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USPS® Mailer ID: (optional)
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USPS® Customer Registration ID: (optional)
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Physical Address
Street address:
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Urbanization: (optional)
City:
State:
ZIP + 4®:
List Information
List name
(Check all that apply):
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 Annual processing frequency:
 times per year
 times per year
 times per year
 times per year
 times per year
 times per year
Other:  times per year
Other:  times per year
Other:  times per year
Signature
    
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