A Note on Site Security

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In the case of the encrypted communications on this site, any payment details (or any other data below) that you submit to us on this form cannot be read by third parties.

We respect your privacy and will not share, sell or otherwise disseminate any data communicated to us via this website or through any other means.

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    InXpress Representative

    Please select your InXpress representative*:

    Company Information

    Company Name ("Company")*:

    Company Contact

    Primary Contact*:

    Phone Number*



    Accounts Payable Contact

    Same as the Company Contact information. If so, please skip the following Accounts Payable section.
    Accounts Payable (AP) Contact:

    AP Phone Number

    AP Email:

    AP Address:

    First Shipment and Training (all fields optional)

    Once account numbers are established and contracts and rates are granted, your InXpress Account Manager will provide system training to our shipping websites and assist you with your first shipment (that will be effective on the day you select below).



    Payment Information (all fields optional)

    Name on Card:

    Credit Card Number:

    Exp. Date:

    Security Code:

    Terms and Conditions

    If Company’s invoice includes Duties and Taxes, it is understood InXpress will charge the above credit card for the Duties and Taxes portion of the invoice 5 days after the InXpress invoice has been sent to the Company unless the Company pays otherwise sooner.
    I agree to the preceding statement about charges to my credit card.

    The Company authorizes the opening of an account with InXpress and the investigation of references provided. The Company understands that it is ordering services from InXpress as a third-party bill to provider (and not transport services), that InXpress is not a carrier or represents any specific carrier and that the Company will receive discounted billing from InXpress for services provided from one or more carriers. The Company acknowledges that they have read and will abide by, and be subject to, the Terms and Conditions of InXpress, which are available on our website at www.inxpress.com and of each carrier used, which are available on their websites and/or air waybills or bill of lading.

    The Company understands that any service failure, late freight or damage claim is handled directly by the carrier. Payment terms to InXpress will not be extended due to pending claim(s). InXpress will not be responsible for goods or materials damaged by shipment.

    The Company agrees to payment terms of Net 14-days FROM DATE OF INVOICE except invoices for Duties and Taxes which MUST be paid upon receipt. If the invoice isn’t paid on time, discounts may be reduced, meaning INVOICE AMOUNTS MAY INCREASE ON ALL INVOICES UNPAID AFTER 30 DAYS. Also, carrier services may be curtailed until the account is brought current and all costs of collection, including reasonable attorney fees if incurred, will also be the responsibility of the Company. Duties and Taxes may be invoiced up to 6 months after shipment. Invoice delivery method is via e-mail.

    I certify that all of the above information furnished is correct, that I have proper authority to sign on behalf of the Company, that the Company is not insolvent and in good standing.

    I have read and agree to all the Terms and Conditions in this Account Application.

    Agreement and E-Signature

    Electronic Signature Agreement. By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide InXpress Inc. or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and InXpress Inc. You also represent that you are authorized to enter into
    this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement. You further agree that each use of your E-Signature in obtaining a GYV Inc. OnLine service constitutes your agreement to be bound by the terms and conditions of InXpress Inc.

    I agree to the preceding e-signature agreement.

    Electronic Signature*

    Please sign in the grey area below using your mouse, finger tip, or stylus.

    Date Signed*: