Account Application

Account Application
Do you have following information ready to apply for the account

Business information and contact detailsTrade referencesBank referencesAuthority to sign this document

Where did you hear about our us?*
Referral Name
Can we thank the referral

YesNp
Expected number of deliveries per month*
Type of items that will be shipped*
i.e. documents, food, alcohol, gifts etc.
Terms
The liability of the Carrier will be limited to $2.00 per lb. or $4.41 per Kg, unless a higher value is declared, for which an insurance fee is paid at
the rate set by the carrier on the declared value. The carrier will not be held responsible for consequential loss, or delay of a shipment. The carrier
is defined as West Direct Express Courier.
Invoices are due upon receipt. An interest charge of .385% per week (20% per annum) shall be assessed on account balance exceeding 5 weeks.
if legal action is taken to effect collection on past due accounts, the purchaser agrees to pay all collection and/or legal fees. Any disputed charges
must be advised to our billing department within fourteen (14) days of invoice date. full terms at westdirect.ca/terms
By signing this form you have agreed to our Terms & Conditions
Name*

First NameLast Name
Title
Date*

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Date
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Business Information