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
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