New Customer Registration Form

1
Full Name* This field is required.
First Name
Last Name
2
Business Name
example@example.com
3
E-mail* This field is required.
example@example.com
4
Phone Number* This field is required.
5
I prefer to be contacted via* This field is required.
phone
email
both
6
PICK A SERVICE PLAN!

Once all paperwork is complete, you will be invoiced.
7
Key Lockbox Service- Receive a key and access your mail 7 days a week!CHOICE #1
1 Year Service- $240
6 Months Service- $150
3 Months Service- $90
I do not want Key Lockbox Service
Account holder + 1 name. $20 key fee charged for new accounts. $80 for additional name/year.
8
Mail Forwarding Service- Mail received on your behalf is sent to your designated address! CHOICE #2
1 Year Service- $300
6 Months Service- $180
3 Months Service- $105
I do not want mail forwarding service
Account holder + 1 name. $25 charged for postage escrow. $80 for additional name/year.
9
INTERNATIONAL Mail Forwarding Service- Mail received on your behalf is sent to your designated address!CHOICE #3
1 Year Service- $350
6 Months Service- $275
3 Months Service- $150
I do not want INTERNATIONAL mail forwarding service
Account holder + 1 name. $50 charged for postage escrow. $80 for additional name/year.
10
Virtual Mail Service- Mail received is scanned and uploaded in a secure portal for you to view 24/7! CHOICE #4
Bronze- 1 Year Service- $195
Silver- 1 Year Service- $449
Gold- 1 Year Service- $699
Platinum- 1 Year Service-$905
I do not want Virtual Mail Service
11
I would like to add business phone service to my account for only $30/month!* This field is required.What Comes With My Service? Dedicated Direct Line Phone Number - Dedicated Toll-Free 800 Number - Dedicated Fax Line
YESNO
Should be Empty:

PICK A SERVICE PLAN!