Mail-Forwarding Service Order Form
Please print and mail, or fax to (866) 838-0363 or (702) 387-3827.
| MAIL FORWARDING Street address as your mailing address. Mail is forwarded once a month, or more often upon request. | Please choose service: __ $99 per year. $5.50 per mailout plus postage. __ $150 per year. $2.50 per mailout plus postage. __ $250 per year - unlimited use . Actual postage only. No mailout fees. |
| Postage deposit: | ___ $30 (refundable) |
| Delivery | __ daily __ weekly __ monthly |
| TOTAL: (Check one) | ___ $129 ____ $180 ___ $280 |
PAYMENT INFORMATION
I authorize Eastbiz.com, Inc. to debit my credit card.
| Check one: | __ VISA __MasterCard __ Discover __ AMEX |
| Credit Card Number: | |
| Expiration Date: | |
| Name on the card: | |
| Billing address: | |
| City and State | City State ZIP code |
Signature Of Card Holder______________________________ (Signature is required)
CONTACT INFORMATION
| Contact Name | |
| Company Name | |
| Phone, fax | Phone: Fax: |
| Mailing address | |
| City and State | City State ZIP code |
EastBiz.com, Inc.– Nevada Corporations
Phone: (702) 871-8678, www.https://incparadise.net, [email protected]