Czech Maildrop Order Form

OffshoreSimple.com

Czech Mail Forwarding Service

Online Application Form

Please complete the form and tick where necessary only


	I. Mail Receiving, Holding, Forwarding service:
	12 months service: €340 + €50 postage deposit. 6 months service: €240 + €50 postage deposit.
	Do you plan to use our remailing services too?
	Name(s) in which your mail will arrive
	Date you wish the service to start
	When you want your mail forwarded onto you
	The way your mail should be forwarded to you

Forwarding Address (address you want your mail delivered to)

Your name/Company name
Address (street, city)
Post Code
Country
Email *
Fax (including international prefix)


	II. Remailing service ordered separately
	The way your mail should be dispatched to addressee air mail (€100 postage deposit is required) courier (€200 postage deposit)

III. Phone/Fax/GSM Numbers (can be ordered along with mail services or separately)

€295 Anonymous GSM (Cellular) SIM Card with international roaming

Total of your order EURO:
(don't forget to click the "Send Order Now" button below)

Insert here any promotional code or special offer:

After you submit your order,
we will reply with a tracking number and payment instructions.

I have read and agree to provide due diligence requirements and
I have read and agreed to the terms and conditions as posted on this Website.

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