Mail Forwarding Application

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Fields marked with an * are required

TEXAS HOME BASE MAIL FORWARDING APPLICATION

Mail Forwarding services do not include mail scanning.
You will not receive a username and password with this service.
To view our Mail Scanning application, click here.

First Name *

Last Name *

Spouse's Name Help Text

Children Name(s) Help Text

Business Name

Current Mailing Address *

City *

Zip / Post Code

Country *

Email *

Phone (domestic or international) *

Who referred you?

Notes (Optional)

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 select 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 for $50 when it drops below $10 using the card submitted 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.

Click here to view the forwarding calendar.

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 with no tracking attached (optional)

I authorize Texas Home Base and it's employees to sign for USPS Certified Mail on my behalf (optional)

Forward Non-Profit (optional)

Forward Magazines (optional)

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 USPS 1583 form is available for download at this link - USPS 1583. The link also provides more information on the form. Although the contract does not begin until we receive the original form, an address can be issued if a tracking number for the form is sent to dru@texashomebase.com

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. By signing this contract I declare that I have read, understand, and agree to the complete contract.

Digital Signature *

Date (M-D-YR) *