Authorization Form

 
     

Company Name

  

 
   
Address  
 
 
     
City State Zip

 

Phone Contact Name Fax
()-- ()--

 

Website Email Address

 

If you have a website, may we go there and use your company info and logo to post on our webpage?

 Yes, Johnson Postman can use our company logo
 No, Johnson Postman cannot use our company logo
 

Your Name Date