This makes it look like there are some unresolved challenges with fulfillment: https://www.bbb.org/us/wa/seattle/profile/international-mail...
The biggest annoyance is the horrible UX for entering recipient's address. I'd like to type the two lines on the envelope. Instead, I need to go through this form adding them as a contact, with fields for e.g. city and state. Most of my letters are one-offs, and it's a bunch of cut-and-paste work. Still beats doing my own mailing, though.