I _______________________________authorize Air Parcel Express, Inc. to charge my Credit Card from _____ (Visa, MC, Amex, Discover)

with Credit Card number ______________________________________________________________

and expiration _________CVV # ______ 

Credit Card Billing Address: ______________________________________  ZIP CODE: ___________

I authorize that all charges are subject to weight and measure verification.  Should the weight and volume exceed the original estimate I authorize the charges be amended accordingly.  Likewise if the charges are less than the tendered weight and measure a credit will be issued.  I acknowledge that I am the authorized user of the above credit card account.  I authorize use of the above credit card account by Air Parcel Express, Inc. a Federally licensed air and ocean carrier in payment of its invoice.

QUOTE # ________________________  AMOUNT TO BE CHARGED $__________________ 

I acknowledge and understand that the above-referenced is for services rendered on my behalf and at my request by AIR PARCEL EXPRESS.  I acknowledge that, by providing this service AIR PARCEL EXPRESS, INC. has met its obligations for the above charge.  I acknowledge that this agreement may be cancelled if cargo has not been tendered to carrier and I agree to pay a penalty of 5% to cover transaction fees.  If cargo is already tendered to carrier, I acknowledge that this agreement may not be cancelled. Global MAX Agency membership is per calendar year.

* I am enclosing copies of my credit card front and back and a picture I.D.  * Destination port charges, duties and or taxes are not included. I acknowledge that I have read and received a complete and signed copy of this agreement and of each and every document I have signed including the terms and conditions specified in our air and ocean bills of lading.

Signature of Cardholder: _______________________________________

Date: ___________________

In the USA or Abroad FAX 305-592-0266 or TOLL FREE FROM USA 1-877-597-0259. 

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