Mail Call, U.S.A.
640 Grove Avenue, SW
Cleveland, TN 37311
Voice: 877-447-2758

APPLICATION

LAST:                                         FIRST:                                         MIDDLE:                         

*DRIVER LICENSE NO. AND STATE:                                                             
*SOCIAL SECURITY NUMBER:                                                                     
*Necessary for ID purposes only. This information will be kept confidential, except if inquired by law where we are required to provide this information.

FORWARDING ADDRESS:                                                                       
                                                                        
                                                                        

PHONE NUMBER:                                                   
EMAIL ADDRESS:                                                    

FORWARD MY MAIL: WEEKLY_______ MONTHLY_______
  BI-MONTHLY (5th and 20th)_______ OTHER:______________

MAIL CALL USA WILL FORWARD 1ST & 2ND CLASS MAIL ONLY. WE DO NOT SEND JUNK MAIL.

  SIGN ME UP FOR:
               6 MONTHS ($72.00)_______     1 YEAR ($120.00)_______
SERVICE FEE
$               
  DEPOSIT INTO MY POSTAGE ACCOUNT ($30.00 MINIMUM)   POSTAGE ACCOUNT: $               
    TOTAL: $               

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO:

MAIL CALL, U.S.A.
640 GROVE AVENUE, SW
CLEVELAND, TN 37311

Furthermore, I hereby release Mail Call, U.S.A., from all liability for loss or destruction of mail, unless the same was caused by gross negligence of Mail Call, U.S.A., its agents or employees. Mail Call, U.S.A., shall not be liable for incidental, special or consequential damages.  This application is the entire agreement and it supercedes any other written or oral agreement.  Charges for services rendered by Mail Call, U.S.A. shall be due and payable in Cleveland, TN.  I understand that if my account with Mail Call, U.S.A. becomes delinquent, Mail Call, U.S.A. may discontinue forwarding my mail and after reasonable notice (30 days) to me, may return my mail to sender.  As the customer's authorized agent for receipt of mail, Mail Call, U.S.A. will accept all mail including Registered and Certified mail.  Customer herein agrees that total liability of Mail Call, U.S.A. and all claims is limited to $50.00 regardless of the nature of the claim.  It is also understood that Mail Call, U.S.A. reserves the right to terminate service for anyone that we believe to be using our service for illegal activities.
Signature (date):
                                                                                                    
Referred by:                                                                                                     

Home | Services and Fee Schedule | Application for Services
Form 1583 | Instructions for Form 1583

Mail Call, U.S.A. | 640 Grove Avenue, SW | Cleveland, TN 37311 | Voice: 877-447-2758
last modified 08/08/2007