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								            < div  class = "title" > Pick Up and Redeliver< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                            Missed a delivery? For a fee, we'll pick up your oversized package or signature-required item from the Helena Post Office and deliver it to your front door, even if nobody's home.
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                            You just need to fill out this form, sign the back of the pink notice slip, and take a picture of it with this app. Information provided must match the information on the notice slip.
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                            Your item will be delivered within one business day of submitting a request, excluding postal holidays. This service is not available for Restricted Delivery or Registered Mail.
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                                        < div  class = "item-title item-floating-label" > Recipient Name< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                                            < input  type = "text"  id = "name"  placeholder = "Jon Doe"  / > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                                        < div  class = "item-title item-floating-label" > Street Address< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                                        < div  class = "item-title item-floating-label" > ZIP Code< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                            Press the buttons to take a photo of the front and back of your signed notice slip.
							 
						 
					
						
							
								
									
										
										
										
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								                                    < div  class = "button button-outline margin"  onclick = "takeDocPhoto('front')" > < i  class = "fas fa-camera" > < / i >  Front< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                                    < img  src = "assets/images/3849_front.png"  id = "noticefrontimg"  style = "max-width: 100%; max-height: 50vh;"  / > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                                    < div  class = "button button-outline margin"  onclick = "takeDocPhoto('back')" > < i  class = "fas fa-camera" > < / i >  Back< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                                    < img  src = "assets/images/3849_back.png"  id = "noticebackimg"  style = "max-width: 100%; max-height: 50vh;"  / > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                            By signing below, you authorize a Helena Express agent to sign for and take possession of your item from the Helena Post Office and to deliver it to the address entered above.
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                        < div  class = "signature-wrapper" > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                            < img  src = "assets/images/signature-line.svg"  / > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                            < canvas  id = "signaturecanvas" > < / canvas > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                            < i  class = "fas fa-undo text-color-blue"  id = "signatureUndoBtn" > < / i > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                            < i  class = "fas fa-trash text-color-red"  id = "signatureClearBtn" > < / i > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                                        < div  class = "item-title item-floating-label" > Your Name< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                                        < div  class = "item-input-wrap" > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                                            < input  type = "text"  id = "signature"  / > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								                        < div  class = "card-content-padding" > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                            < div  class = "button"  onclick = "noticeSlipPayAndFinish()" > < i  class = "far fa-arrow-right" > < / i >  Finish< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								    < div  class = "popup text-color-black"  id = "noticeslip-pay-popup" > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								            < h2 > Finish and pay< / h2 > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								            < h3 > Total: $< span  id = "noticeslip-pay-amount" > < / span > < / h3 > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								            < div  id = "noticeslip-stripe-elements" > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								                < i  class = "fas fa-spin fa-spinner" > < / i >  Loading secure card form...
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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								            < div  id = "noticeslip-card-errors"  style = "text-color-red" > < / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								            < div  class = "button"  onclick = "submitNoticeSlip()" > < i  class = "far fa-arrow-right" > < / i >  Pay and Submit< / div > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
								            < p > < a  class = "button popup-close"  href = "#" > Cancel< / a > < / p > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							
							
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