London Mailbox and Accommodation Address Service

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Len Mailing Address Service Online Application Form

If you'd like to apply for our service online, please complete this form ..... thank you!

Some fields on this form must be completed and they are marked (required).

As soon as the form is completed and sent, the service is Up and Running.

Payment can be made:
A. Online. Service up and running and paid. Invoice sent. OR
B. We open an account for you. The service is set up. An invoice is sent in the post. You have up to a month to pay.

Contact Name/s (required)

Company Name

Contact Address
including postcode and country
(required)

Phone Number/s

Fax Number (if applicable)

E Mail (required)

I Wish to Use your Services

Service Required:
(required)

3 Months Mail service

12 Months Mail service

Business or Non-Business Use?
(required)

Business Use

Non-Business/Private Use

Type of Business or Website:

How would you like to access your mail?
(required)

	I wish my mail to be sent on at cost of post.
	I wish to collect my mail by appointment. I would have I.D.

Undertaking
(required)

I agree to use the service at all times in a legal way.

How did you find out about us?

Loot
Exchange & Mart
Yellow Pages
Business Pages
Talking Pages
Previous Use
Search Engine		please specify:
Other		please specify:

LEN MAILING ADDRESS SERVICE
Suite 210, Coborn House, 3 Coborn Road, Docklands, London, E3 2DA, UK
Call/Text: +44-(0) 7958 221 527
Telephone: +44-(0) 20 7729 6184/5 (10 lines - 24 hours, 7 days a week)
Fax: +44-(0) 20 7739 6596
Pager: +44-(0) 7625 302 547
Internet: www.mailbox4u.co.uk

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