The Vision Center - Mailbox Form
Fill out the form carefully & choose the mailbox that's right for you! Note: Mailbox payments are due every 1st week of the quarter (Jan, Apr, July, Oct). Thank you,
Name
*
First Name
Middle Name
Last Name
E-mail
example@example.com
Mobile Number
*
My Subscriptions
*
prev
next
( X )
Mailbox (Local Resident)
Must pick up mail at least monthly
$
60.00
for each
three months
Mailbox (KCC or Clergy Members)
KCC or Clergy only! Must pick up mail at least monthly.
$
45.00
for each
three months
Mailbox (Not local - Virtual)
Mail will be opened & texted to you.
$
30.00
for each
three months
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
*
Additional Comments
Print Form
Continue
Continue
Should be Empty: