Please CHOOSE ONE ?
Would you like to: RENT a new box or RENEW your box#
Large 8.5x11x14 Box Rent 3 Months $41.00
Large 8.5x11x14 Box Rent 6 Months $78.44 1 bonus monthFREE
Large 8.5x11x14 Box Rent 12 Months $146.00 2 bonus months FREE!

Medium 5.5x6x14 Box Rent 3 Months $31.50
Medium 5.5x6x14 Box Rent 6 Months $62.00 1 bonus monthFREE
Medium 5.5x6x14 Box Rent 12 Months $122.00 2 bonus months FREE!

Small 3.5x5x14 Box Rent 3 Months $25.50
Small 3.5x5x14 Box Rent 6 Months $49.50 1 bonus monthFREE
Small 3.5x5x14 Box Rent 12 Months $98.50 2 bonus months FREE!

Name of each member whose mail is to be delivered to this Box #:

Do you need to forward your mail? yes no
Mail forwarding service is $7 per month and sent weekly on our regular mail forwarding day to the address of your choice. Mail will be sent by US Mail or UPS. All shipping & handling fees billed monthly to your Mastercard ot Visa. We will contact you VIA Email to set up your forwarding address information.

*Denotes Required Field
*First Name		*Last Name
Company (name of business, firm or corporation) (optional)
*Address
*City		*State Select a State Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories/Nunavut Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
*Zip
*Credit Card Number	*Expiration Date (MMYY)
*E-mail		Telephone	Ext.
Web Address (optional)

Terms of Participation
By submitting to our form you agree to our Terms of Service.
1. All feesdue and payable in advance. Accounts are considered deliquent if not paid on the date due, and mail will be held pending payment including a $5.00 late fee. If not paid within 10 days following due date, mail will be returned to sender. Mail cannot be forwarded from E-Z Print Plus without your rental being up to date and/or without registration in our mail forwarding program. 2. The box may not be used for any purposes prohibited by postal regulations or for any illegal or illegitmate purposes whatsoever. 3. All information contained on this form will be treated as confidential and will not be disclosed except for law enforcement purposes, in response to subpoena or court order, with the exception of business addresses. 4. IMPORTANT! DO NOT USE POST OFFICE BOX NUMBER ON YOUR RETURN ADDRESS. YOU MUST USE E-Z PRINT PLUS's ADDRESS AND INCLUDE YOUR NEW SUITE NUMBER. Use of post office box number confuse the POST OFFICE and your mail will NOT be delivered. Additionally, your mail will be sorted by the suite # here; without the suite #, there will be delays in getting mail to your box. 5. Applicant authorizes delivery to and in care of E-Z Print Plus 1417-3 Del Prado Blvd, Cape Coral, FL 33990 Legal Agreement: Applicant agrees that during the rental term of this agreement to use the rented postal box for lawful purposes and in conformity with all applicable Federal, State and Local laws. Applicant further agrees to protect, indemnify , and save harmless E-Z Print Plus from and against any and all claims, demands and causes of action of any nature whatsoever, and any expense incident to defense by E-Z Print Plus of any such demand or action arising out of or in connection with applicant's use or possession of said postal box and including, without limitation, all demands, claims, and causes of action for personal injury or property damage arising from such use or possession, for failure of the US Postal Service to deliver on time or otherwise any item (mail, parcels, etc.) for damage to or loss of postal box of applicable of Federal, State, or Local laws. In addition applicant agrees that upon his default in the payment of rent required by this agreement, E-Z Print may, at it's option, as security for rent owed, withhold or refuse applicant's mail during the period of default , and should said default continue, may withhold mail indefinitely or return to sender. You will need to fill out an USPS application for delivery of mail through agent form which we will provide. This form WILL have to be notarized and returned to us.