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Get and Sign Usps Form 3541
Periodicals Monthly Data Collection Worksheet
Publication Number:
Title:
Frequency:
Month & Year:
First day of mailing:
Last day of mailing:
Date received
Mailing Date
Issue Date
See BMA Compliance Job
Aid 12-M for instructions on
the use of this form.
Presort Report Marked Copy Ad % Weight of one copy Comments
Total Weight
Average Weight
Total Advertising
Ad Average
PS Form 3541-MW, March 2012 (Page 1 of 1) PSN 7690-16-000-7937
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