RLH Mail Services Proxy Pickup Form
By signing this form, I understand that once any package(s) and/or article(s) of letter mail is/are released to the person listed as a "proxy" on this form, I am releasing Residential Life and Housing from any and all liability regarding the delivery of the listed items(s) and that I am responsible for coordinating with and retrieving my items(s) from said person.
Proxy's Name
*
First Name
Last Name
Proxy's Email Address
*
Confirmation Email
example@vcu.edu
Proxy's Phone Number
*
Ex. (804) 123-4567
Proxy's V-Number (optional)
Ex. V00812345
Your Name
*
First Name
Last Name
Your VCU Email Address
*
Your V-Number
*
Ex. V00812345
Tracking number(s) of the package(s) and/or letter(s) you would like the person listed as your proxy to pick-up
*
If you are adding multiple tracking numbers, please separate each by inserting a comma
Your Signature
*
Submit
Should be Empty: