1970 N. Leslie St. • Pahrump, NV 89060-3678
Office Phone: 775 727-7311
Office Fax: 775 727-6674
Web: mailforwardingnevada.com

REGISTRATION FORM - Personal Only

Please include 2 copies of a notarized
USPS form 1583 with this form

Your Name
 

Traveling Companion

Other Names

  (You are limited to Two people per acct.)

1 YEAR MAIL FORWARDING

$65 Minimum (See Rate Chart)       $85.00    
Advance Deposit on Postage                     $65.00    
One Time Registration Fee                  $15.00    
TOTAL ENCLOSED
Mail Fwdg/Message Serv. $165.00    

MAILING INSTRUCTIONS

First address to forward mail and Welcome Letter to
with all the information you need to get started:

Tell us how often you want your mail forwarded:


If Weekly...on which day:   

The above choices can be changed at any time!
Rates & Services are subject to change anytime.


There is NO CHARGE to you for the following services.
We offer them as an extra benefit
when you become a customer.

EMERGENCY LOCATOR SERVICE/OPTIONAL
We need to have a description and license #'s of your
vehicles so that we can possibly find you as you travel.

Vehicle Description
  

License #
       State 
Vehicle Description
  

License #
       State 

Phone #'s to call in the event of an emergency:
Name
    Phone
Name
    Phone

FREE LOST PET SERVICE:
Kind of Pet 
    Name 
Pet Description 
Please put our 800# and your Voice Mail box #
on your Pet's ID Tag along with its name.

ADDITIONAL TERMS:
The undersigned hereby releases Mail, Messages & More and its principals and employees (collectively "MMM") for any liability for loss or destruction of mail unless caused by MMM's gross negligence or willful conduct and agrees to indemnify, defend and hold MMM harmless for any damages (including attorneys' fees and costs) caused by Customer's breach of this agreement. MMM shall not be responsible for incidental, consequential or special damages. All payments to MMM, except unused postage deposits, are non-refundable. If an account becomes delinquent, MMM may suspend services immediately or terminate services upon 15 days prior notice. Any unpaid balances accrue interest at the rate of 15% per annum. MMM's services may not be used for any criminal or illegal activities or any activities prohibited by any local, state, federal or international government, agency or tribunal. No representation has been made by MMM as to establishment of residence, voting, registration of motor vehicles, payment of any taxes or any other issues in regards to customer. MMM may immediately suspend or terminate services if it suspects, in its sole and absolute discretion, that any such activities are being perpetrated through MMM's services. Upon any termination of service, all mail will be returned to sender. MMM is hereby authorized to sign for all certified or registered mail. Services may be terminated by customer only upon 6 months prior written notice. If an attorney is retained to enforce any provision of this agreement, Customer agrees to pay such attorney's fees and court costs.

Signed: ___________________________________

Signed: ___________________________________

I/We agree to the above terms
     Date: ____________

REFERRALS: Who or What Publication referred
you to us?

Please include 2 copies of a notarized USPS form 1583 with this form