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COMPANY INFORMATION
*Company Name:	[?]
*Street Address:	[?]
*City:
*State:
*Zip Code:
*Main Phone:	[?]
*Main Fax:	[?]
Tax ID:	[?]
Years in Business:	[?]
*Account Contact:	[?]
*Phone Number:	[?]
*Email Address:	[?]
Type of Business:	[?]
*How did you hear about us?	[?]

AGREEMENT
We agree to pay Sunshine State Messenger Service, Inc ("Sunshine") upon receipt of invoice.A $30 service fee will be charged on all returned checks. If payment is not received within thirty (30) days of the invoice date, Sunshine will automatically charge the credit card on file. If Sunshine must engage the services of a collection agency or attorney to collect unpaid amounts, the Client will be responsible to pay reasonable collection fees, attorney fees, court costs, plus the rate of 1.5% interest per month on the unpaid balance. This contract and associated transactions shall be governed by and construed in accordance with the laws of the State of Florida. Any action brought by either party in connection with this contract shall be brought in the appropriate State Court in Dade or Broward County, Florida. The client hereby waives it's right to trial by jury. It is also agreed that there will be an automatic surcharge of $1.50 per shipment, whether consisting of one or more packages, which will be insured in the event the shipment is lost or damaged irrespective of the value or cause of such loss or damage, including negligence is limited to $500.
Agreeing Party:
*First Name:
*Last Name:
*Job Title:
*Yes: No:	Are you in agreement with the terms of applying for credit with Sunshine State Messenger Service, Inc.? [?]
*Agreeing Party Email:	[?]

TECHNOLOGY OPTIONS
	YES! I want Billing References on Invoices [?]
	YES! I want Delivery Confirmations. [?]
Fax:	[?]
Email:	[?]
	YES! I want Online Ordering, Tracking, & Reporting![?]
Desired Username:	[?]
Desired Password:	[?]
Verify Password:

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