PCC Charter Application			

PCCs must complete this application form and send it to the National PCC Team via email to PCC@usps.gov or hardcopy mail to the address listed at the bottom of this form.  Check the appropriate box and complete those sections pertaining to the action.  A completed copy of this form also must be sent to the local Postal Service District Manager.
□  New PCC	□  PCC Name Change     □  Co-Chair Change   
□  Admin Change     □  Inactive PCC 	□  Delete PCC	
Charter_______________________________________________________________________
Name of PCC:
Inception Date:
Name of District Manager:
_____________________________________________________________________________
Key Contacts__________________________________________________________________
PCC Postal Co-Chair (Postmaster):
Address:
Phone #:
Fax #:
Email Address:

PCC Industry Co-Chair:
Title:
Company Name:
Address:
Phone #:
Fax #:
Email Address:

PCC Postal Administrator:
Title:
Address:
Phone #:
Fax #:
Email Address:
_____________________________________________________________________________
General Membership___________________________________________________________ 
Initial Number of Executive Board Members:
Initial Number of General Members:
_____________________________________________________________________________
Form Completed by____________________________________________________________
Name:
Title:
Phone #:
Email Address:
_____________________________________________________________________________
Sending Instructions___________________________________________________________
FAX to 202.268.3677 or send hardcopy to:

CUSTOMER AND INDUSTRY MARKETING
ATTN  NATIONAL PCC TEAM
UNITED STATES POSTAL SERVICE
475 L’ENFANT PLZ SW RM 4541
WASHINGTON DC  20260 – 4541