MAILBOX AND FORWARDING SERVICE AGREEMENT

MAILBOX NUMBER: ______________________

SIZE OF MAILBOX:

Small (Personal Use Only)
Medium
Large

1) This Mailbox Service Agreement ("Agreement") is made and entered into by the customer identified above ("Customer") for the use of and services related to a mailbox (the "Mailbox") at the UPS Store. Identified above (the "Center") under the terms set forth herein.

2) Customer agrees that Customer will not use the Center premises or any Center services for any unlawful, illegitimate or fraudulent purpose or for any purpose prohibited by U. S. postal regulations. Customer further agrees that any use of the Mailbox shall be in conformity with all applicable federal state and local laws. Each individual or entity must complete a separate Postal Service Form 1583 ("Form 1583") to be authorized to receive mail or packages at the Mailbox. However, anyone may complete one Form 1583, as long as both spouses include their separate information on the Form.

3) This Agreement and Form 1583 shall remain confidential, except that this Agreement and Form 1583 may be disclosed upon request of any law enforcement or other governmental agency, or when legally mandated. Additionally, customer acknowledges that pursuant to postal regulations the Information required to complete Form 1583 may be made available to the Postal Service to the public if "yes" in block five (5) on Form 1583 is checked. Upon request, Customer agrees to complete all necessary documents, including Form 1583 and any required acknowledgment form relating to service of process. Customer further agrees to sign an updated version of this Agreement and Form 1583 upon request.

4) Possession of the Mailbox key shall be considered valid evidence that the possessor is duly authorized to remove any contents from the Mailbox. In the event of death or incapacity of Customer, the Center will require the appropriate documents from the Probate Court, the executor of the estate, the trustee or other similar person or entity before releasing mail or packages to a requesting party.

5) Customer agrees to pay an initial set-up fee of $10.00, as well as applicable monthly service fees. The Customer agrees that the Center may hold mail and packages pending payment. There will be no prorating or refunds for cancellation of any service. Customer agrees to pay a late fee of $10.00 if any payment is not received within five (5) days of when due. In the event the Mailbox lock is changed upon the request or fault of Customer, Customer agrees to pay a fee of $10.00. Mailbox service fees and other related fees stated herein are subject to change. In the event that Customer receives an unreasonable volume of mail or packages at the Mailbox according to the Center's reasonable judgment, the Center may require Customer to upgrade to a larger size mailbox and pay any additional charge. The Center reserves the right to increase the Mailbox service fees in the event that Customer adds additional individuals or entities to the names of those individuals or entities authorized to receive mail and packages at the Mailbox pursuant to Form 1583.

6) Upon expiration, cancellation or termination of this Agreement, the Center will:

1. Re-mail (i.e., forward) Customer's mail for six (6) months, provided Customer pays the postage, packaging material, and forwarding fees in advance. Additionally, Customer must pay a monthly storage fee of $10.00 for month 1, and $5.00 for months 2 through 6 in advance for the time period that mail is to be forwarded. It is customer's responsibility to make arrangements with the Center to identify any mail forwarding needs prior to the expiration, cancellation or termination of this Agreement.
2. Discard or destroy any "Unsolicited Mail" (e.g., bulk mail; mail addressed as "occupant," "current resident" or similar designation; or coupons, advertising or other promotional material) delivered to or remaining at the Center.
3. Retain Customer's mail, other than Unsolicited Mail, at the Center for a period of thirty (30) days from the date of delivery or six (6) months after the expiration, cancellation or termination of this Agreement, which ever comes first, if customer leaves no forwarding fees or forwarding address. After such time, any mail or package may be discarded or destroyed. In order to pick up any mail or package during the six (6) month period. Customer must pay a storage fee of $5.00 per month for the time period in which the Center holds the mail or package(s), plus a service fee of $5.00 for each time Customer visits the Center to pick up such items.
4. Refuse any package addressed to Customer delivered by any party other than the U.S. Postal Service, such as a commercial service.

7) Three (3) months after the expiration, cancellation or termination of this Agreement, the Center may:

1. Refuse any mail or package addressed to Customer and delivered to the Center.
2. Discard or destroy any of Customer's mail or package delivered to or remaining at the Center at such time.

8) The term of this Agreement shall be the initial period paid for by Customer and any renewal period paid for by Customer from them to time. Renewal of this Agreement for additional terms shall be at the Center's sole discretion.

9) Customer agrees that the Center may terminate or cancel this Agreement for good cause at any time by providing Customer thirty (30) days written notice. Good cause shall include but is not limited to: i. Customer abandons the Mailbox; ii. Customer uses the Mailbox for unlawful, illegitimate or fraudulent purposes; iii. Customer fails to pay Moneys owed the Center when due; iv. Customer receives an unreasonable volume of mail or packages; v. Customer engages in offensive, abusive or disruptive behavior toward other customers of the Center or the Center's employees; and vi. Customer violates any provision of this Agreement. Customer acknowledges that, for the purpose of determining good cause for termination of this Agreement as provided herein, the actions of any person authorized by Customer to use the Mailbox will be attributed to Customer.

10) Any written notice to Customer required or permitted under this Agreement shall be deemed delivered twenty-four (24) hours after placement of such notice in Customer's Mailbox or at the time personally delivered to Customer. In the event of a termination notice based upon abandonment of the Mailbox, notice shall be deemed delivered (a) on the next day after placing in the hands of a commercial courier service or the United States Postal Service for next day delivery, or (b) five (5) days after placement in the United states Mail by Certified Mail, Return Receipt Requested, postage prepaid, and addressed to Customer at Customer's address as set forth in Form 1583, or on the date of actual receipt, whichever is earlier.

11) As Customer's authorized agent for receipt of mail, the Center will accept all mail, including registered, insured and certified items. Unless prior arrangements have been made, the Center shall only be obligated to accept mail, or packages delivered by commercial courier service which require a signature from the Center as a condition of delivery. Customer must accept and sign for all mail and packages upon the request of the Center. Packages not picked up within 30 days of notification will be subject to a storage fee of $2.00 per day per package, which must be paid before Customer receives the package. In the event Customer refuses to accept any mail or package, the Center may return the mail or package to the sender and Customer will be responsible for any postage or other fees associated with such return. C.O.D. items will be accepted ONLY if prior arrangements have been made and payment in advance is provided to the Center.

12) Customer agrees to protect, indemnify, defend and hold harmless the Center, The UPS Store. USA, Inc., and their respective affiliates, subsidiaries, parent corporations, franchisees, officers, directors, agents and employees from and against any and all losses, damages, expenses, claims, demands, liabilities, judgments, settlement amounts, costs and causes of action of every type and character arising out of or in connection with the use or possession of the Mailbox, including without limitation, any demands, claims and causes of action for personal injury or property damage arising from such use or possession, from failure of the U.S. Postal Service or any commercial courier service to deliver on time or otherwise deliver any items (mail, packages, etc.), from damage to or loss of any package or mail, or to the Mailbox contents by any cause whatsoever, and from any violation by Customer of applicable feral, state or local laws.

13) Customer acknowledges and agrees that the Center is an independently owned and operated franchisee of Mail Boxes Etc. USA, Inc. ("Franchisor") and that Franchisor is not responsible for any acts or omissions of its franchisees.

14) CUSTOMER HEREIN AGREES THAT THE TOTAL AMOUNT OF LIABILITY OF THE CENTER AND FRANCHISOR, IF ANY, FOR ANY AND ALL CLAIMS ARISING OUT OF OR RELATED TO THIS AGREEMENT SHALL NOT EXCEED $50.00 REGARDLESS OF THE NATURE OF THE CLAIM.
(INITIAL)

15) Customer must use the exact mailing address of the Mailbox without modification as set forth in Section three (3) of Form 1583. Mail received by Customer must bear a delivery address that contains at least the following elements, in this order:

1. Intended addressee's name or other identification. Examples: Joe Doe or ABC Co.
2. "PMB" and number, Example: PMB 234
3. Street number and name or box number. Examples: 10 Main St. or # 34 or PMB 17
4. City, state, and ZIP Code (5-digit or ZIP+4). Example: Herndon VA 22071-2716.

The Postal Service will return mail without a proper address to the sender endorsed "Undeliverable as Addressed."

16) Delivery by commercial courier services must be made to the Center street address only (and not to a P.O. Box). In such case, the "PMB" designation must also be used. Upon signing this Agreement, Customer shall provide two forms of valid identification, one of which shall include a photograph. This Agreement may not be amended or modified, except in a writing signed by both parties.

CUSTOMER SIGNATURE: _______________________________________________

Date -- mm/dd/yy

AUTHORIZED CENTER REPRESENTATIVE

SIGNATURE: ______________________________________Date: _______________

State of ___________________  
                                                           SS:
County of                                 ___   

On this, the________day of __________, 19____, before me a notary public, the undersigned officer, personally appeared_________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained.

In witness hereof, I hereunto set my hand and official seal.

 

 ______________________________________________  

Notary Public  

Identification Copy Form

Place two acceptable forms if identification with in the squares and then photocopy, also print the Identification number on the lines below. This form must be notarized.

State of ___________________  
                                                           SS:
County of                                           

On this, the________day of __________, 19____, before me a notary public, the undersigned officer, personally appeared_________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained.

In witness hereof, I hereunto set my hand and official seal.

 

  ______________________________________________  

Notary Public  

House/Forwarding Account

Card Holders Signature __________________________________________________

Frequency Of Forwarding:

  Daily Bi Weekly Weekly Bi Monthly Monthly

Please mark each item You Would Like To Have Forwarded

 Accept and forward sign for items: Certified mail, UPS, FedEx, Express Mail etc.

Items will be forwarded on your regular schedule unless otherwise notified

Accept and forward magazine/book subscriptions

Accept and forward catalogues

      We do not forward Presort Standard (junk mail).  We will forward Presort Standard First Class mail.