New Company Account Sign-Up Form

Please fill out the following account opening form in order to request delivery services from waely drop.

Company

Administrative Contact Name

Administrative Contact Phone #

Pick-Up Address

Administrative Email

Accounts Payable Name

Accounts Payable Phone #

Email to receive invoices

Billing Address if different from pick-up address

Approximately how many times do you plan to use waely drop courier and delivery services per month

0-5

5-10

10-15

15 or more

Do orders need to be set up with an internal billing refernce or label

YES

How would you like to be billed? An Additional 3% processing fee is applied to all card payments

Invoice Monthly

Invoice Semi Monthly

Invoice Per Service

Auto Card Weekly

Auto Card Monthly

Date

Billing and Payment Terms

Customers will be billed bi-monthly in advance of the courier/delivery services provided, and payment of such fees will be due within thirty (30) days of the date of each waely drop invoice. All payments will be made in U.S. dollars. Late payments hereunder will accrue interest at a rate of one and one-half percent (1.5%) per month. If in its judgment Waely drop determines that the Customer is not creditworthy or is otherwise not financially secure, Waely drop may, upon written notice to Customer, modify the payment terms to require full payment before the provision of Courier/delivery service or other assurances to secure Customer's payment obligations hereunder.

Your Signature

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Rate Sheet