• Box 1   Date                                   
• Box 2   Name of Applicant                                             
• Box 3   New Mailing Address  ( Located on your confirmation Letter )
• Box 4a. AmericanMailnet LLC
• Box 4b. 705 North Mountain Road, Suite C105
• Box 4c. Newington
• Box 4d  CT
• Box 4e. 06111
• Box 5.  N/A
• Box 6.  Place your name here
• Box 7a. - d. Your Address
• Box 7e. Your Phone Number
• Box 8. Your (2) IDs go here - Leave blank - We will complete. Remember to photo copy your IDs and include with USPS 1583
• Box 9 Company Name
• Box 10a - 10d Company Address
• Box 10e Company Phone Number
• Box 11 Type of Business
• Box 12 Name of person or persons who will receive mail
• Box 13 If Business is a corporation - Officers Names and Addresses
• Box 14 Official Business Name
• Box 15 Signature and Seal of Notary
• Box 16 Your Signature

Please Note USPS Form 1583 is required by the US Postal Service - All requests to establish Mail Forwarding accounts without completion of USPS Form 1583 will be denied.