Front:
PS Form 3576
May 1978
As soon as you know your new address,
mail this card to all the people, businesses,
and publishers who send you mail.
For publishers, paste old label over name and old address sections and complete new address section.
Your
Print or Type-Last Name, First Name, Middle Initial
Name
No. and Street, Apt., Suite, P.O. Box or R.D. No.
Old
No. and Street, Apt., Suite, P.O. Box or R.D. No. (In care of)
Sign Here
New Area Code and
Telephone No. if known
Date new address in effect
Account No. (If any)
Receiver: Be sure to record the above new address in your address book at home or office.
Back:
Change of Address card for:
333
.....
Affix
First Class
:..
Correspondents
Name
Businesses
SPECIAL
ISSUE
Publishers
City
ZIP
AU.S. Government Printing Office: 1983-655-491
