Fillable The Wine Box Package Receiving Service Agreement printable pdf download

The “Wine Box” Package Receiving Service Agreement

Center Number:

___________

Customer Information

______________________________________________________________________

Name:

_______________________________________________________________________________________

Company:

___________________________________________________________________________________

Address:

_____________________________________________________________________________________

City:

State:

Zip:

___________________________________

_____________

_______________________________

Business Telephone:

Home Telephone:

___________________________

____________________________

Fax:

Mobile Telephone:

_______________________________________

________________________________

E-Mail Address:

______________________________________________________________________________

Primary Ship To:

Name:________________________________________________________________________

Company:_____________________________________________________________________

Address:______________________________________________________________________

City:_____________________________State:___________Zip:__________________________

□

CC to be billed:

AMEX

MasterCard

VISA

Account Number:

Expiration:

____________________________________________________

______

Cardholder Full Name:

_______________________________________________________________________

Billing Address:

______________________________________________________________________________

Terms and Conditions__________________________________________________________

This Package Receiving Service Agreement is made and entered into by the customer identified above

(“Customer”) for services related to the receipt of packages from commercial package delivery companies such

as UPS® and FedEx® on Customer’s behalf at The UPS Store® Center identified above (“Center”) under the

Terms and Conditions set forth herein (collectively, the “Services”).

The Center will accept and, if necessary, sign for Items addressed to Customer and delivered to the Center by

commercial package delivery companies. Customer understands that this Agreement is for the acceptance of

Items delivered by commercial delivery companies ONLY, and that the Center is not permitted and will refuse to

accept any Items from the United States Postal Service® on behalf of Customer unless Customer has : (a)

entered into a separate Mailbox Service Agreement at the Center; (b) paid the corresponding fees; and (c)

completed a United States Postal Service From 1583 (Form 1583”). Items must be addressed to Customer at

the Center’s street address. The Center will not accept Collect on Delivery (COD) Items or Items containing

hazardous materials, and/or tobacco.

After accepting an Item for Customer under this Agreement, the Center may notify Customer of the receipt of

the Item via email or telephone at (___)____-_______. The Center will either store (at Eagle Rock Fulfillment)

or release Items to Customer named above upon presentation by Customer of valid government-issued photo

identification. Customer must present the required identification each time Customer picks up Items from the

Center. In the event of the death or incapacity of the Customer, the Center will require the appropriate

THE UPS STORE #3940

EAGLE ROCK FULFILLMENT, INC.

THE UPS STORE #4516

4225 SOLANO AVENUE

431 GATEWAY ROAD WEST

1436 SECOND STREET

NAPA, CA 94558

NAPA, CA 94559

707-258-2454 PHONE

707-252-3364 PHONE

707-265-6011 PHONE

707-258-2474 FAX

707-252-7640 FAX

707-265-6012 FAX

The Wine Box Package Receiving Service Agreement

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