staples

Signature Release Agreement

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For orders less than $200 in total - please print and complete this form then place a signed original in a location that is both visible and accessible to our driver.
Please Note: If more than one order is being delivered, we require that a separate Signature Release Agreement is completed for each.

X __________________X____________________________________
(Date)(Authorized signature)

X____ I understand that my signature authorizes Staples to leave my shipment at my address, even if no one is available to accept it. I also understand that Staples is not liable for any loss or damage that may result from the delivery request I have made in this agreement.
Please note: In certain instances, your order may not be suitable for signature release. The delivery driver will leave a note with instructions on how to receive your order.

X___________________________________________________________
(Authorized signer's name – Please print)

X___________________________________________________________
(Company Name – Please print)


X________________________________________________________________________

_________________________________________________________________________
(Address – Please print)

X______________________________
(Order number – Please print)


X________________________________________________________________________

_________________________________________________________________________
(Special Instructions – Please print)

If you have any questions please call 1-877-360-8500.