mailbox registration form

There are more TFC students than there are mailboxes available. Therefore, some students may share a mailbox with another student. Since mailboxes are assigned on a first-come, first-served basis, it is to the student’s advantage to register for a mailbox as early as possible. The college requires a $15 mailbox key deposit, which is returned to the student when the student returns the key to the TFC post office on campus. However, students who do not enroll at TFC forfeit their $15 mailbox key deposit. Only students that have submitted the $200 deposit are eligible to register for a mailbox.

Have you already submitted your $200 deposit?  Yes No

TFC Student ID #: First Name:       Middle Name:       Last Name:  First semester of enrollment at TFC: Fall 2008 Spring 2009 Fall 2009 Will this box be used for soliciting or doing business with the public?  Yes No Permanent Address: City:      State/province:  AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY AB BC ON       Zip/postal code:  Country:      Home Phone:  ( ) - Email:

Please keep in mind that possession of mailbox key may be considered by the Postal Service to be valid evidence that possessor is authorized to remove mail from the box.

TFC MAILBOX KEY DEPOSIT INFORMATION

Please accept my $15 TFC mailbox key deposit as follows:

Credit Card Type: Visa Master Card American Express Credit Card Number: - - - Expiration Date:  01 02 03 04 05 06 07 08 09 10 11 12 / 03 04 05 06 07 08 09 10 11 12 13 14 15     MM      /     YY Name as it Appears on the Credit Card: Street Address of Cardholder: Zip Code of Cardholder:

By clicking the Submit button below, I hereby authorize Toccoa Falls College to charge the above credit card with this $15.00 (US) key deposit. I understand that this deposit will be held in an account by the college, and that it will be returned to me when I return my mailbox key at the end of my time at TFC. I also understand that I forfeit the $15.00 (US) key deposit if I do not begin attendance at TFC in the semester I indicated above. By clicking the Submit button below, I certify that the information provided on this form is complete and accurate.