Your name & / or your Business name
244 5th Ave, Suite #_______(to be assigned)
New York, NY 10001

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1. Plan Selected

Walk-in to Pickup

$30 Per Month


$40 Per Month


$50 Per Month
2. Select Duration
3. Funds for postage
(to be used for actual mailing cost)
Option Name Cost
deposit for postage
deposit for postage
3. Add Optional Features
4. Add Optional Features
Option Name   Cost
deposit required
$20 per month
$10 per month
Funds for postage
(to be used for actual mailing cost)
deposit required
deposit for postage
deposit for postage
$10 per month
$10 per month
Start Date :
Next Billing Date :
Price Per Month : $
Discount -% OFF : -$
Processing fees : $
Add-On Fees : $
Will Pay Later: $0.00
Domestic Mail Forwarding : $
International Mail Forwarding : $
Mail Scanning : $
Mail Scanning : $
Subtotal : $
Tax Amount (%) : $
Total Price : $
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Government Issued Photo ID
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Mail Receiving Authorization Form

Please select one option:

    • I agree to provide a government-issued photo-ID (e.g. Driver’s License or Passport)
    • I understand that our records are available to Federal, State and Local law enforcement upon request.
    • I understand that I can receive up to 100 pieces of mail under the plan.
    • I understand that if I select mail scanning, I am authorizing the staff of NYC Virtual Office to open the contents of incoming mail addressed to me and / or my business, upon request, for the purpose of scanning and emailing its contents.
    • I understand that my service may be discontinued if used for unlawful purposes.


    I hereby authorize and expressly permit the staff and personnel at NYC Virtual Office to open the contents of United States Postal Service mail addressed to me or the name of my business for the purposes of scanning and emailing the contents of said USPS mail to the email address that I designate. This authorization acts as a waiver of any claims, express or implied, legal or equitable, that I may have against NYC Virtual Office, its staff, personnel, successors, assignees in perpetuity.

    Please initial here

    The United States Postal Service (USPS) requires you to sign USPS Form 1583 giving us permission to receive your mail. This form is required for all applicants regardless of their residence or citizenship.

    United States Postal Service®
    Application for Delivery of Mail Through Agent
    See Privacy ActStatementon Reverse
    1. Date
    In consideration of delivery of my or our (firm) mail to the agent named below, the addressee and agent agree: (1) the addressee or the agent must not file a change of address order with the Postal Service upon termination of the agency relationship; (2) the transfer of mail to another address is the responsibility of the addressee and the agent; (3) all mail delivered to the agency under this authorization must be prepaid with new postage when redeposited in the mails; (4) upon request the agent must provide to the Postal Service all addresses to which the agency transfers mail; and (5) when any information required on this form changes or becomes obsolete, the addressee(s) must file a revised application with the Commercial Mail Receiving Agency (CMRA).

    NOTE : The applicant must execute this form in duplicate in the presence of the agent, his or her authorized employee, or a notary public. The agent provides the original completed signed PS Form1583 to the Postal Service and retains a duplicate completed signed copy at the CMRA business location.The CMRA copy of PS Form PS 1583 must at all times be available for examination by the postmaster(or designee) and the Postal Inspection Service. The addressee and the agent agree to comply with all applicable Postal Service rules and regulations relative to delivery of mail through an agent. Failure to comply will subject the agency to withholding of mail from delivery until corrective action is taken.

    This application may be subject to verification procedures by the Postal Service to confirm that the applicant resides or conducts business at the home or business address listed in boxes 7 or 10, and that the identification listed in box 8 is valid.
    2. Name in Which Applicant\'s Mail Will Be Received for Delivery to Agent. (Complete a separate PS Form 1583 for EACH applicant. Spouses may complete and sign one PS Form 1583. Two items of valid identification apply to each spouse. Include dissimilar information for either spouse in appropriate box.)

    3a. Address to be Used for Delivery (Include PMB or # sign.)
    244 5th AVENUE #
    3b. City
    3c. State
    3d. ZIP+4
    4. Applicant authorizes delivery to and in care of:
    a. Name

    b. Address (No., street, apt./ste. no.)

    c. City

    d. State

    e. ZIP+4

    5. This authorization is extended to include restricted delivery mail for the undersigned(s):

    6. Name of Applicant

    8.Two types of identification are required. One must contain a photograph of the addressee(s). Social Security cards, credit cards, and birth certificates are unacceptable as identification. The agent must write in identifying information. Subject to verification.


    Acceptable identification includes: valid driver\'s license or state non-driver\'s identification card; armed forces, government, university, or recognized corporate identification card; passport, alien registration card or certificate of naturalization; current lease, mortgage or Deed of Trust; voter or vehicle registration card; or a home or vehicle insurance policy. A photocopy of your identification may be retained by agent for verification.
    7a. Applicant Home Address (No., street, apt./

    7b. City

    7c. State

    7d. ZIP+4

    7e. Applicant Telephone Number (Include area code)

    9. Name of Firm or Corporation

    10a. Business Address (No., street, apt./ste. no)

    10b. City

    10c. State

    10d. ZIP+4

    10e. Business Telephone Number (Include area code)

    11. Type of Business

    12. If applicant is a firm, name each member whose mail is to be delivered. (All names listed must have verifiable identification. A guardian must list the names of minors receiving mail at their delivery address.)
      13. If a CORPORATION, Give Names and Addresses of Its Officers

      14. If business name (corporation or trade name) has been registered, give name of county and state, and date of registration.

      Warning: The furnishing of false or misleading information on this form or omission of material information may result in criminal sanctions (including fines and imprisonment) and/or civil sanctions (including multiple damages and civil penalties).
      15. Signature of Agent

      16. Signature of Applicant(If firm or corporation, application must be signed by officer. Show title.)
      PS Form 1583, December 2004 (Page 1 of 2) (7530-01-000-9365) This form on Internet at®
      Package Receiving & Storage Fees
      Charges Start the Day Package arrives First 3 days After 3 days
      FedEx/ UPS Envelope $1.00 $1.00 flat
      Drop offs-Private Party or Messenger $2.00 $2.00/day
      Packages up to 5 lbs $2.00 flat $2.00 flat
      Over 5 lbs & up to 10 lbs $3.00/day $3.00/day
      Over 10 lbs & up to 20 lbs $5.00/day $5.00/day
      Large & Heavy Packages charged PER DAY from day 1
      Over 20 lbs & up to 30 lbs Over 30 lbs & up to 50 lbs
      $10.00 per day $15.00 per day
      We do not accept packages over 50 lbs Note- Packages left over 30 days will be discarded.

      Handling and storage charges apply per day, depending on the size and weight of the package, inclusive of the day the package arrives.

      Pick up ONLY. No forwarding service available.

      We accept packages from all delivery services and notify you via email.


      Please read, sign & return so that we can assign you a suite number to get started.

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