Open an Account

* Required Field

Please fill out the form below to sign up for a Eagle Express Courier and Delivery Service account.

Full Name: *
Company Name: *
Company Address: *
Room/Floor #:
City: *
State: *
Zip: *
Phone: *
Fax #:
E-mail address: *
 
If your billing address or email is different from your general correspondence:
A/P Contact:
A/P Address:
Room/Floor #:
City:
State:
Zip:

Phone:
Fax #:
E-mail address:
 
Type of Business: *
Years Established: *

How much are your average monthly courier bills ? *

Note: If you wish to receive emails from Eagle Express Courier and Delivery Service regarding your statements and proof of delivery, please remember to add our email address to your Safe Sender list in your email program so that important emails such as these don’t risk being blocked as spam.

Credit Card Authorization

A credit card number is required for a credit to be established. By filling out the information below You are agreeing to allow Eagle Express Courier Service to charge your account for the total due on a monthly basis. The account listed above will be enrolled in this program, until such a time that it is terminated in writing. Below is the credit card(s) that you are authorizing Eagle Express Courier Service to charge.

Name on Credit Card: *
Address: *
City: *
State: *
Card Type: *
Card # *
Exp. *
Security Code: *

In opening this account, please be advised that Eagle Express Courier and Delivery Service does not take responsibility for cash, jewelry or securities. Eagle Express Courier Service limits its liability to maximum of 200.00 per delivery unless otherwise negotiated in writing. In consideration for credit being extended by Eagle Express, I acknowledge and agree to the following: (1) Payment for all work performed by Eagle Express Courier Service is personally, jointly, severally, and unconditionally guaranteed within 15 days of billing; (2) any charges outstanding after 40 days can be charged on the credit card indicated above; (3) any charges outstanding after 60 days from date of billing are subject to collection, and all collection or arbitration expenses, attorney fees, and court costs will be borne by the purchaser; (4) all claims, requests for adjustments, or notification of errors must be made within thirty days; or charges are considered accepted; (5) Eagle Express Courier and Delivery Service assumes no responsibility for the condition of the item being shipped; (6) this agreement shall apply to all current and future charges unless revocation is registered mail;(7) releases Eagle Express Courier and Delivery Service, its employees and or agents from liability and responsibility for the condition of the items throughout the receipt and delivery process (8) represents to Eagle Express Courier and Delivery Service that the contents of the shipment is not hazardous or illegal in nature.(9) all work is subject to the Terms and Conditions above. My name below is confirmation that I have read and understand this agreement.

Authorized Virtual Signature *
   

Eagle Express Couriers has provided us with over six years of great service. The drivers are always professional and courteous. Their fast and reliable emergency service is of great benefit to our company.

Randy Brown
Managing Supervisor
KCI