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Yes, I'd like to have a [ ] Chicago mailing address [ ] private Chicago phone number [ ] both. I hereby confirm that I will conduct my business, whether personal or professional, in the best ethical and honest way. I understand that this service is non-cancelable except at the end of each prepaid period of service, upon the signing of this form. I have checked below the length of service desired and am including the fees with this form. If I am applying for the mail address service, I agree to abide by the provisions of The Mail Post and U.S. Postal Regulations which includes completing Postal Form 1583 which authorizes The Mail Post to receive my mail and understand that The Mail Post does not knowingly handle any illegal mailing through this service. I understand that I may use this address in addition to or instead of my current address. I agree to pay all services charges and forwarding postage in advance.
Total of Amounts Checked Above $___________ Plus Postage Deposit.................... $___________ TOTAL AMOUNT ENCLOSED.... $___________ You can pay by check, money order, Visa, Mastercard or American Express. Signature:_________________________________ Date:_____________ Name: (please print)__________________________ Address:___________________________________ __________________________________________ Business Name or other: (if any) __________________________________________ Telephone: area code ( )__________________ Credit Card Number:__________________________ Expiration Date: _____________ You will be notified via return mail of your assigned address and/or your voice mail phone number. Please do not use you Chicago address until we send your official notification. If you wish, you can contact us by phone when you think we have received your application in order to receive this information sooner. Thank you. |