MAIL-IN REGISTRATION FORM

Mail Preference Service mail-in registration form: $1 fee for mail-in registration 

Print this form out and mail with a $1 check or money order, payable to DMA (no cash please) to:
Mail Preference Service
P.O. Box 282
Carmel, New York 10512

Fields marked with an asterisk (*) are required:

First Name*: _____________________________________
  
Middle Name: ____________________________________
 
Last Name*: _____________________________________
  
Address*: _______________________________________
  
Apartment: ___________
 
City*: __________________________________________
  
State*: _________________________________________ 
 
Zip Code*: ______________________________________
  
Email address (optional): __________________________  


Important. Please review the information carefully prior to printing and mailing the form. Errors may reduce the effectiveness of the service. By completing this form online, a tracking number will automatically be generated, which assists us in inputting your data as you submitted it.






For Assistance, Please Call the 
Carver County Attorney's Office Fraud Line
(952) 361-1402
This page was last updated: June 4, 2010
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