Release Form regarding the Prepaid Envelope

I will supply a prepaid envelope to Laroz International Business,Inc (Laroz). for mailing my document(s) back and select the following service: (note: You need this form only if you selected “Prepaid Return Envelope” option)

____ $3.00 FedEx Express
____ $3.00 USPS Express Mail
I agree to take the electronic or paper record of Laroz as sole proof of mailing and I will not hold Laroz  liable in case of loss or damage during shipping.
____ $3.00 USPS Priority Mail with signature confirmation
I agree to take the electronic or paper record of Laroz as sole proof of mailing and I will not hold Laroz liable in case of loss or damage during shipping.
____ $3.00 (< 13 oz) USPS Priority Mail without signature confirmation option
I agree to take the electronic or paper record of Laroz as sole proof of mailing and I will not hold Laroz liable in case of loss or damage during shipping.
____ $8.00 (> 13 oz) USPS Priority Mail without signature confirmation option
I agree to take the electronic or paper record of Laroz as sole proof of mailing and I will not hold Laroz liable in case of loss or damage during shipping.
____ $3.00 (< 13 oz) USPS letter mail
I agree to take the electronic or paper record of Laroz as sole proof of mailing and I will not hold Laroz liable in case of loss or damage during shipping.
____ $8.00 (> 13 oz) USPS letter mail
I agree to take the electronic or paper record of Laroz as sole proof of mailing and I will not hold Laroz liable in case of loss or damage during shipping.
____ $8.00 USPS certified mail, registered mail.
I agree to take the electronic or paper record of Laroz as sole proof of mailing and I will not hold Laroz liable in case of loss or damage during shipping.
____ $10.00 Shipping to international destinations.
$____ (please pay this amount)

I will keep the tracking or confirmation number (if any). I will use an envelope that’s strong enough for mailing. I will be solely responsible for any loss or damage during shipping.

Should my mail be returned by FedEx or US Postal Service for any reason (e.g. insufficient postage, improper packing/envelope, undeliverable address), I agree to pay $10 return mail handling fee.

My order ID is __________________.

Return mail tracking number is _____________________________.

My name is _______________________________ (printed name)

_______________________________ (Signature), _________________

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