Abstract: A printed form to be filled out and submitted to a receiving party for processing, the form including as a removable component thereof a label assembly on which the submitter inserts his name and address, whereby the receiving party is then able to mail material to the submitter in an envelope having the removed label applied thereto. The label assembly is constituted by a face sheet having an address block printed thereon which is to be filled out with the name and address of the submitter, the underside of the face sheet having a pressure-sensitive adhesive layer thereon protectively covered by a backing sheet. The backing sheet is severed into two short end sections and a long intermediate section, the underside of the intermediate section having a carbon copy coating thereon. In attaching the label assembly to the form to overlie an address block printed thereon, the end sections of the backing are adhered to the corresponding ends of the form block.