Customer Signup

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Name

First

Last

Names of family members over the age of 18 years old who are permitted to pick up packages:

1st Member

Single Line Text

2nd Member

Single Line Text (copy)

3rd Member

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Your estimated frequency of package deliveries per month?

Selected Value: 0

(We know this may change, but would like a “Best Guess” to get started.)

Please Note that your Neighborhood Host is required to verify your identity for your first delivery by requesting a valid driver's license or identification card. This procedure is required to ensure the safety of your package and accountability of the Host.

packages: over old

Signature

Customer Signup

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