Automatic credit card payments
Company Name or TA Name: State Registered in:
Date of Incorporation or Establishment:
Mailing Address, if Different:|
How did you learn about Best Messenger?
What other local courier companies have you tried? Any problems, concerns, or comments?
Names of Officers, Partners, or Major Shareholders:
Contact and Phone for After-hours Contingencies:
Exempt from DC sales taxes? (if yes, fax exemption certificate to  797-9705)
Credit Card Payers
I authorize you to charge my credit card for all amounts I/we owe to Best Messenger.
Credit Card No: Exp. Card ID Number: (see explanation here)
Name as it Appears on Card:
Credit Card Billing Address, Including Zip Code:
If a (1) sole proprietorship; (2) partnership; (3) professional; (4)unincorporated; or (5) incorporated less than two years,
sign the following: I authorize Best Messenger, Inc. or its agents to investigate my personal financial records, and I agree to personally guarantee the payment of any invoices from Best Messenger, Inc.
I hereby certify that the information contained in this credit application is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. I hereby authorize the financial institutions listed in this credit application to release necessary information to Best Messenger, Inc., in order to verify the information contained herein. I understand and agree that payments are due within 10 days of the billing date; that all invoices remaining unpaid after 30 days are subject to a finance charge of 1.50% or $2.50 minimum per month or partial month unpaid; that all dishonored checks will result in a $25.00 additional charge; that in the case of default, Best Messenger, Inc. shall have the right, without notice, to declare all invoice amounts due and payable; that if an attorney is hired in connection with a delinquent debt, the delinquent party will pay any and all reasonable attorney fees and court costs incurred by Best Messenger, Inc. or its agents. Best Messenger, Inc. has the right to cancel this agreement at any time without notice.
Best Messenger, Inc. and its agents may rely on a facsimile copy or electronic representation of the signature of a duly authorized officer in connection with the matters set forth herein, and upon the exchange of such facsimile signature(s), or representation(s) electronically or otherwise, this agreement shall be binding between the parties, whether or not hard copies of this agreement are ever exchanged between them.
||, I agree to all of the terms and conditions stated above.|
128-BIT STRONG ENCRYPTION ENSURES THAT ALL INFORMATION SUBMITTED IS 100% SECURE AND PRIVATE
AND IS USED SOLEY BY BEST MESENGER, INC. FOR BILLING VERIFICATION PURPOSES