1. This Mailbox Service Agreement ("Agreement") is made and entered into by the customer identified above ("Customer") for the use of and services related to a mailbox ("PMB") at Lafayette Storage, LLC (the "Facility") under the terms and conditions set forth herein.
2. Customer agrees that Customer will not use the Facility or any Facility services for any unlawful, illegitimate or fraudulent purpose or for any purpose prohibited by the U.S. Postal regulations. Customer further agrees that any use of the PMB shall be in conformity with all applicable federal, state and local laws.
3.  Each individual or entity must complete a separate U.S. Postal Service Form 1583 ("Form 1583") to be authorized to receive mail or packages at the PMB.
a. Spouses may complete one Form 1583, as long as both spouses include their separate information on the Form 1583 and furnish two forms of valid and current identification each.
b. A parent or guardian may receive delivery of a minor's mail by listing the name(s) and age(s) of each minor on Form 1583 (block 12).
c. When any information on Form 1583 changes, the Customer must file a revised application with Facility.
4. This Agreement and Form 1583 shall remain confidential. Except, the original and completed Form 1583 will be furnished to the postmaster and that this Agreement and Form1583 may be disclosed upon written request of any law enforcement or other governmental agency, or when legally mandated.
5. Possession of the PMB key shall be considered valid evidence that the possessor is duly authorized to remove any contents from the PMB. In the event of death or incapacity of Customer, the Facility will require the appropriate documents from the Probate Court, the executor or the estate, the trustee or other similar person or entity before releasing mail or packages to a requesting party.
6. Customer agrees to pay a key deposit of $5.00 as well as applicable monthly service fees. PMB service fees are all due and payable in advance. This service agreement may be renewed for a subsequent month if rental payment is received by the ____ of the month. If not there will be a monthly late charge of $10.00 after the 5^th day late for each PBM rented. Facility will hold mail and packages pending payment. There will be no prorated fees or refunds for cancellation of any service.  In the event the PMB lock is changed at the request or fault of Customer, Customer agrees to pay a fee of $5.00.
7. Upon expiration, cancellation or termination of this Agreement, the Customer and  Facility agree:
a. Not to file a change-of-address order with the post office.
b. The Facility will re-mail Customer's mail for six (6) months, provided Customer pays for postage, packaging material, and forwarding fees in advance.
c. It is the Customer's responsibility  to make arrangements with the Facility to identify any mail forwarding needs prior to the expiration, cancellation or termination of this Agreement.
d. The re-mailing obligation will not be fulfilled if the Customer provides written instructions  to the Facility that the mail not be re-mailed upon termination of the Agreement.
i. The written instructions must not stipulate that the Facility refuse mail or return it to sender, or hold the mail during the 6-month re-mail period and return it to the post office, or redeposit mail with out new postage.
e. Retain Customer's mail, other than Unsolicited Mail, at the Facility for a period of thirty (30) days, if the customer leaves no forwarding fees and forwarding address. After such time, any mail or package may be discarded or destroyed.
f. Discard or destroy any "Unsolicited Mail" (i.e.: bulk mail, mail addressed as "occupant", "current resident" or similar designation, or coupons, advertising or other promotional material) delivered to or remaining at the Center.
g. Refuse any package addressed to Customer delivered by any party other than the U.S. Postal Service, such as commercial courier service.

8. Six (6) months after the expiration, cancellation or termination of this Agreement, the Facility may:
a. Refuse any mail or package addressed to Customer and delivered to the Facility.
b. Discard or destroy any of  Customer's mail or package delivered to or remaining at the Facility at such time.
9. The term of this Agreement shall be the initial period paid for by Customer  and any renewal period for by Customer from time to time. Renewal of this Agreement for additional terms shall be at the sole discretion of the Facility.
10. Customer agrees that the Facility may terminate or cancel this Agreement for good cause at any time by providing Customer thirty (30) days written notice. Good cause shall include but is not limited to:
a. Customer abandons the PMB
b. Customer uses the PMB for unlawful, illegitimate or fraudulent purposes
c. Customer fails to pay monies owed the Facility when due
d. Customer receives an unreasonable volume of mail or packages
e. Customer engages in offensive, abusive or disruptive behavior towards other customers of the Facility or the Facility's employees
f. Customer violates any provision of this Agreement
The Customer acknowledges that, for the purpose of determining good cause for termination of this Agreement as provided herein, the actions of any person authorized by Customer to use the PMB will be attributed to Customer.
11. Any written notice to Customer required or permitted under this Agreement shall be deemed delivered twenty-four (24) hours after placement of such notice in Customer's PMB or at the time personally delivered on the next day after placing in the hands of a commercial courier service of the United States Postal Service for next day delivery or five (5) days after placement in the United States Mail by Certified Mail, Return Receipt Requested, postage prepaid, and addressed to Customer at Customer's address as set forth in Form 1583,or on the date of actual receipt, whichever is earlier.
12. As Customer's authorized agent for receipt of mail, the Facility will accept all mail, including registered, insured and certified items. Unless prior arrangements have been made, the Facility shall not be obligated to accept mail or packages delivered by commercial courier services which require a signature from the Facility as a condition of delivery. Customer must accept and sign for all mail and packages upon the request of the Facility. In the event the Customer refuses to accept any mail or package, the Facility may return the mail or package to the sender and Customer will be responsible for any postage or other fees associated with such return.  C.O.D items will be accepted ONLY if prior arrangements have been made and payment in advance is provided to the Facility.
13. Customer agrees to protect, indemnify, defend and hold harmless Lafayette Storage, LLC and their employees from and against any and all losses, damages, expenses, claims, demands, liabilities, judgments, settlement amounts, costs and causes of action of every type and character arising our of or in connection with the use or possession of the PMB, including without limitation, any demands, claims and causes of action for personal injury or property damage arising from such possession, from failure of the U.S Postal  Service or any commercial courier service to deliver on time or otherwise deliver any items (mail, packages, etc), from damage to or loss of any package or mail, or to the Mailbox contents by any cause whatsoever, and from any violation by Customer of applicable federal, state or local laws.
14. Customer must use the exact mailing address for the PMB without modification as set forth in Section three (3) of Form 1583. The Postal Service will return mail without a proper address to the sender endorsed "Undeliverable as Addressed."
15. Upon signing this Agreement, Customer shall provide two forms of valid identification, one of which shall include a photograph. This Agreement may not be amended or modified, except in writing signed by both parties.





Customer Signature ___________________________________________     Date_____________________

Facility Agent Signature  ____________________________________________    Date_____________________
(Lafayette Storage Staff)