Mail Forwarding Application

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Fields marked with an * are required

1. TEXAS HOME BASE MAIL FORWARDING APPLICATION

First Name *

Last Name *

Spouse's Name Help Text

Children Name(s) Help Text

Business Name

Current Address *

City *

Country *

Zip / Post Code

Email *

Phone (domestic or international) *

Skype ID (optional)

Who referred you?

2. MAIL FORWARDING INFO (optional)

If you currently do not have a forwarding address you can email us any time with a new address or to change your forwarding address. If you would like to activate a forwarding address at a future date or have other forwarding requests indicate this in the forwarding notes section.

Forward To: First Last Name

Business Name

Forwarding Address

City

Country

Zip / Post Code

Forwarding Notes

Texas Home Base Contract

I have opened, read and agree with the Texas Home Base contract above *

Based on the Mail Forwarding Service plan that I have selected below, by digitally signing this contract I Authorize Texas Home Base Mail Forwarding to charge my credit card in the amount below. I also agree that Texas Home Base has permission to renew my postage account balance back to $50 when it drops below $10 using this card and renew my contract the month that it will expire. If I do not wish to renew my contract I will inform Texas Home Base before the contract expiration date. Your completion of this authorization helps us protect you, our valued client, from credit card fraud. Texas Home Base will keep all information entered strictly confidential.

Total $USD

I have read and agree to the Texas Home Base contract *

I give my permission to have my mail sent by USPS First Class Envelope

Do not forward Bulk Mail

Do not forward Non-Profit

Do not forward Magazines

I understand that my Texas Home Base contract will not begin until I have submitted the USPS 1583 document along with the 2 IDs required by the USPS. *

The term of this contract is based on the mail forwarding plan you have selected. Prices are subject to change without notice when contract expires. To complete the sign up process you must download PS Form 1583 and email this form with two forms of photo ID to Texas Home Base. By signing this contract I declare that I have read, understand, and agree to the complete contract.

Digital Signature *

Date (M-D-YR) *