Plus $140.00 Monthly |
Monthly Fee |
$140.00 |
Sales Tax 5.5% |
$7.70 |
Set-Up Fee |
$50.00 |
Security Deposit |
$150.00 |
Total Due |
$347.70 |
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Personal information: |
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Country:
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ID Issued State:
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Company information: |
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Business Phone:
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Country:
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List all other business names/individuals
under which you may receive mail:
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List all authorized individuals to pick up mail:
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Provide a preferred greeting to answer your calls
(if applicable):
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Do you authorize to give e-mail address
to walk-in clients?
Yes
No |
Do you authorize to give your cell phone
to walk-in clients?
Yes
No |
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Contract: |
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Effective Date:
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Terms and Conditions
I have read and agreed to the Terms and Conditions and by completing this transaction intend this to be an agreement signed by me. |
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Credit Card information: |
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You will not be charged until we contact you to confirm and process your order. |