PA Dems Mail Request (Non-Federal)

Required fields are marked with an asterisk

Email confirmation to(required)

What is the mail piece ID name for this?(required)

What are you calling this piece internally? This helps us better refer to the piece if we have specific questions.

Committee Name(required)

Committee Address

What is the contact information (name & phone) of a person with the campaign?

Email address of your contact at the campaign(required)

Your Name(required)

Your phone number(required)

Drop Date(required)

e.g. 08/16/26

2nd drop date (dual)

e.g. 08/16/26

ONLY if you are requesting dual drops, if only requesting one pice and one drop ignore this field

# of pieces in mailing(required)

What is the name of the vendor processing this piece?(required)

Contact information of the vendor processing this piece(required)

(address, phone number, email)

Postage Cost (just the cost of the postage, total cost will come below)(required)

Estimated printing cost(required)

Shipping costs

(if applicable)

Please attach the mail proof, citations page, W9 (if this is your first time submitting a piece) AND an invoice here(required)

Drag and drop files, paste screenshots, or browse

Please use this field to verify any claims made in the piece

If you submitted a citations page in the above question, ignore this field

Have you uploaded all citations for this piece?

Yes

Please use the above fields to verify any claims the piece makes

Have you checked to make sure this piece has the correct disclaimer?

Yes

Have you reviewed that this piece has the correct postage stamp?

Yes

Click here to acknowledge you have read the mail memo/policies(required)

Yes