Mail Receiving and Forwarding  Services

Name_________________________________________

Company______________________________________

Email Address__________________________________

Telephone________________ Fax_________________

Forwarding method: (USPS, FEDX,UPS, DHL,Airborne Exp)_______________________

Your Account Number (required for DHL & Airborne)_____________________________

Forwarding Frequency: (weekly, bi-weekly, monthly,other)_________________________

Forwarding Address:

Street Address_______________________________

                        _______________________________

City_________________________________________

State______ Zip Code_________________________

Country______________________________________

Initial payment and postage/forwarding deposit.

Paid monthly,  $21/per month
Paid quarterly,  $60/ perquarter
Paid annually,  $228/per year                                            $_________

Postage Deposit: Minimum $50
   or
Courier Deposit : Minimum $100                                    $________

Total                                                                                       $________
 
 
 
 
 

Credit Card Information:

_____Visa _____MasterCard

Card Number__________________________________

Expiration Date______________

Signature____________________________________

Date_________