Cleveland Redirect Service Application Form

PLEASE PRINT THIS APPLICATION, FILL IT OUT COMPLETELY,
AND FAX OR MAIL IT TO OUR OFFICES AT:

 

  Cleveland Redirect Service
P.O. Box 27553
Cleveland, Ohio 44127-9998

 



Service Type

Downtown address in Cleveland:
Individual: _____ 3 months service $70 under ($25 per month)
_____ 6 months service $130 under ($23 per month)
_____ 1 year of service $240 under ($20 per month)
Business: _____ 3 months service $100 under ($35 per month)
_____ 6 months service $175 under ($33 per month)
_____ 1 year of service $350 under ($30 per month)

Post Office Box In Cleveland:
Individual: _____ 3 months service $54 ($18 per month)
_____ 6 months service $102 ($17 per month)
_____ 1 year of service $192 ($16 per month)
Business: _____ 3 months service $75 ($25 per month)
_____ 6 months service $138 ($23 per month)
_____ 1 year of service $240 ($20 per month)

PLEASE INITIAL ONE THE FOLLOWING:

______ I authorize Cleveland Redirect Service to accept all Certified and Registered Mail that may come to me while using their service and agree that they are not responsible for it. I understand they will sign for me and re-mail it to me for a service fee of $5.00 per item, plus the cost of forwarding.

-- OR --

______ I want Cleveland Redirect Service to refuse all Certified and Registered Mail that comes to me while I am using their forwarding service.


PLEASE READ AND INITIAL THE FOLLOWING:

______ I understand my true address and identity will remain a secret. Cleveland Redirect Service does not publish or sell client's names or addresses.

______ I understand a $20 postage deposit is required to start an account with Cleveland Redirect Service. I further understand that a strict accounting of the postage money is kept, and that I will be notified when my account goes low.

______ I hereby agree to conduct my business in an honest and ethical manner. I also agree to abide by the provisions of the US Postal Regulations and Cleveland Redirect Service. I understand that Cleveland Redirect Service will not knowingly handle any illegal mailings through this re-mailing service.

______ I agree that Cleveland Redirect Service is not responsible for any violations on my part and agree to re-imburse them for any time and legal expense involved.

______ Upon termination of service or failure to pay rent in advance by applicant, Cleveland Redirect Service shall have no responsibility to make applicant's mail available without payment therefore. Applicant understands that the US Postal Service will not forward mail without payment, will not return mail to sender and will not accept change of address. If applicant wished to receive any mail received for him after date of termination, he shall provide Cleveland Redirect Service with a forwarding address and pay the required fees for mail forwarding. In the event applicant fails to do this, My Branch Office shall refuse further mail, and in the case of mail already received, retain such mail for not more than ninety (90) days, after which is will be destroyed or returned to the Post Office. All services are payable in advance.

Signature ________________________________ Date ________________

Name ___________________________________________________________

Address_________________________________________________________

City, State, ZIP _______________________________________________

E-mail (optional) ______________________________________________

Code Name/Pseudonym (One per account) __________________________

Phone (optional) _______________________________________________

Enclosed is a ____ Money order ____ Cashiers check ____ Personal check ____ Business check
Make checks payable to: Cleveland Redirect Service

 

IF YOU ELECT TO USE A POST OFFICE BOX ADDRESS
YOU MUST FILL OUT U.S. Postal Service Form 1583
AND SEND IT ALONG WITH THIS APPLICATION!


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