Unishippers Account Enrollment Form

Your Company Information

Today's Date * +

Unishippers Customers # (not required)

Legal Company Name *

DBA Name

Company Phone Number *

Your Shipping Address **MUST BE PHYSICAL SHIPPING ADDRESS* * 🛈

Address 2 or Suite #

City *

State *

Zip Code *

Federal Tax ID *

Type of Ownership *

Billing Address to for Your Unishippers Invoices *

Same as Shipping Address

Different Billing Address for Invoices

Mailing / Billing Address / PO Box

Address 2 or Suite #

City

State

Zip Code

President Name *

President Email *

Presidents' Phone # *

Unishippers Shipping Services

Please select the shipping service you are signing up for. All services are non-contractual and are pay as you use.
*

LTL

FTL

UPS Small Package (ground/air/international)

Shipping Contact

Who should we contact for Shipping Related Issues?

Shipping Contact First Name *

Shipping Contact Last Name *

Shipping Contact Phone # *

Extension

Shipping Contact Email *

How Will You Be Preparing Your Shipments? Check all that apply. * *

www.myunishippers.com

ups.com

3rd Party Platform (Shopify etc.)

Other

Billing Contact Information

Who should we contact for Billing Related Issues?

Billing Contact First Name *

Billing Contact Last Name *

Billing Contact Phone # *

Extension

Billing Contact Email *

Would you like anyone other than the
billing contact to receive invoices? *

Yes

No

Additional Email address for invoices.
Separate Multiple e-mails by a comma * 🛈

Do you require any references on your invoice that was entered on your BOL? *

Yes

No

Billing Preferences

Please complete the billing profile below so that we can be sure to invoice you correctly.

Here is some important information to know about our invoice to you:

Default credit terms are NET 15 days
Unishippers invoices at least once per week from billing.egl@unishippers.com
Billing inquiries and disputes need to be filed within 3 business days
If you have special billing requirements or need additional backup, please notify us at billing.egl@unishippers.com

DOWNLOAD OUR INVOICE GUIDE

Freight clients are required to keep a credit card authorization on file.

How Would You
Like to Receive Your
Invoice? *

I understand Unishippers 1701 Terms are net 15 Days *

Yes - I agree

No - I require different terms that must be approved

If you have a dispute on an invoice,
we must be notified within 3 business days *

Yes - I understand

Auto Payment Processing Terms

Unishippers Autopay program will automatically your account on file weekly for invoices that are due. Auto Pay is a requirement of our UPS Programs.

Schedule your payment to be automatically deducted from your bank account, or charged to your Visa, MasterCard, American Express or Discover Card. Just complete and sign this form to get started!

Recurring Payments Will Make Your Life Easier:

It’s convenient (saving you time and postage)
Your payment is always on time (even if you’re out of town), eliminating late charges

Here’s How Recurring Payments Work:

You authorize regularly scheduled charges to your checking/savings account or credit card. You will be charged the amount indicated below each billing period. A receipt for each payment will be emailed to you and the charge will appear on your bank statement as a Edgewood Global Logistics, LLC or Unishippers 1701. You agree that no prior-notification will be provided unless the date or amount changes.

Please note the following:

You will continue to receive your invoices via e-mail on a weekly basis, providing you have shipped during that week.

Would you like to sign up for Auto - Pay?

Payments will be processed 15 days after invoice is issued *

Yes - sign me up!

No

To enroll, please complete the form below.

Company Name *

First Name
(on card/account) *

Last Name
(on card/account) *

Address your account (Card or Bank) statements are MAILED TO *

City *

State *

Zip Code *

Email Address *

Select Payment Type

Payment Type Preference *

ACH / E-Check (Free Transactions)

Credit / Debit Card (3.5% Transaction Fee)

Credit Card Information

This credit card form is secure and will encrypt your information for safe delivery.

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV Code *

Bank Account Information

Account Type *

Bank Name

Account Number

Routing Number

Mouse/Touch enabled Signature Authorization

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that may at its discretion attempt to process the charge again within 1 days, and agree to an additional charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form. *

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Unishippers Credit Policy

Billing Disputes: You must contact Unishippers with 3 days of invoice receipt to file a claim or dispute as there are specific deadlines imposed by each carrier after which claims cannot be filed. Collection fees incurred are at the responsibility of client. Collections are made at the undiscounted price (aka List Price) plus collection fees + Interest.

Credit Card Processing Surcharge:

Edgewood Global Logistics, LLC d/b/a Unishippers 1701 may charge a credit card processing fee. This will be added to your invoice amount when processing the credit card.

Incoming Wire Fees: The client is responsible for all bank charges incurred for wire transfers.

Returned Check Surcharge: Edgewood Global Logistics, LLC d/b/a Unishippers 1701 charges a $35 fee for returned checks.

CREDIT POLICY: Statements are rendered as of the Unishippers 1701. COD restrictions may be placed on any past due account. Should we at any time determine that credit is in question, or ability to pay is in doubt, whether the order has been previously accepted or not, we reserve the right at our option to either cancel order, with-hold shipment or ship on a C.O.D. or C.I.A. (Cash In Advance) basis.

CREDIT TERMS: All invoices are due with 15 days; the due date is shown on the invoice. A service charge of six percent (ó%) per month may be assessed on delinquent invoices but not to at any time exceed the highest legal rate of interest legally allowed. Any unpaid balance after that date will result in a late fee of 6% and may result in loss of discounts or revocation of terms. If a credit card is placed on file, we reserve the right to process past due payments on that card.

CHANGE OF OWNERSHIP: I/We understand that we must notify Edgewood Global Logistics, LLC in writing and by certified mail of any change in ownership, the name of the business or structure of the business under which credit is established within thirty (30) days of the date such change is effective.

COLLECTION AND ATTORNEYS’ FEES: In the event of default, and if this account is turned over to an agency and/or an attorney for collection, the undersigned agrees to pay all reasonable attorneys’ fees, and/or costs of collection whether or not suit is filed.

CERTIFICATE OF USE: I/We certify that this request is for the extension of credit for business purposes only and not for the extension of credit for personal, family or household purposes.

The laws of the state of Illinois will apply and any legal action brought by Buyer will be in the Jurisdiction of Illinois and Buyer hereby submits to the jurisdiction of said courts

Terms & Conditions

The following authorizes Unishippers to work with our carriers on your behalf as well as outlines important terms and conditions. Please review and check the box below.

Unishippers Terms & Conditions

UPS Small Package Terms:

The verified company above is joining Unishippers for the purpose of obtaining discounts and receiving other benefits on UPS shipping services. Customer agrees to be bound by the UPS terms and conditions outlined in the UPS Service Guide available at UPS.com.

Unishippers is neither an insurer nor an insurance broker. UPS default insurance coverage is a maximum $100 per shipment and additional shipment Insurance can be purchased on a per shipment basis for an additional fee. Customer acknowledges that Guaranteed Service Refunds due to late deliveries must be reported to Unishippers no later than 15 days from delivery date for disputes to be considered valid under UPS Terms & Conditions. All claims will be processed, approved, and paid by UPS Claims. Unishippers is not liable for any claims, special, incidental or consequential damages as a result of lost, damaged, or late shipments. Payment of shipping charges is required for claims to be paid.

Palletized Freight Terms:

The above company is joining Unishippers for the purpose of obtaining discounts and receiving other benefits on shipping services. Customer agrees to be bound by the rules and regulations of the selected carrier (National Motor Freight Traffic Association Guidelines: NMFTA ). Unishippers will not be liable for claims or any special, incidental or consequential damages as a result of lost, damaged, or late shipments. Customer acknowledges that any damage claims or disputes of billed carrier charges must be reported to Unishippers no later than 30 days from delivery date (5 days for concealed damage) for disputes to be considered valid. Customer also acknowledges that in the event of a carrier damage claim, all transportation charges must be paid prior to the carrier processing the claim.

Unishippers is neither an insurer nor an insurance broker. Transportation insurance is made available upon request and provided solely by a 3rd party (UPS Capital Insurance). When arranging for coverage, Unishippers must rely upon the insured's representations as to the type and value of the insured items, which Unishippers cannot readily verify. The insured bears the burden of determining the type and amount of insurance required and if policy provided is sufficient for the insured's needs. The insured is in the best position to assess the value of his or her assets and the risk of loss willing to bear. Unishippers assumes no affirmative duty to render advice concerning the appropriate liability coverage or the adequacy of the policy limits. Payment of shipping charges is required for claims to be paid.

Billing & Payment Terms:

Customer is responsible for payment of all shipments made under their assigned account number. All shipments are invoiced on a weekly basis. Accounts will be considered "Past Due" after NET 15 days. After NET 30 days, invoices are subject to late fees as stipulated on your invoice, and may result in a suspension of your shipping services until resolved. Accounts that demonstrate unreliable creditworthiness, may have their services suspended at NET 30 days.

Autopay:

Customers enrolled in Unishippers Autopay Program authorize Unishippers to charge the account listed above based on the provided payment method and Weekly for shipping services rendered and agree to pay all verified invoices marked as "open" or "on file".

I understand that my account will be charged based on the terms outlined above in the Autopay Section, and that I will continue receiving invoices weekly via e-mail (when applicable) and that I can cancel weekly automatic payments by emailing service.egl@unishippers.com at any time.

Credit Limit:

All new accounts enrolled in Auto-Pay are set up with a default $5,000 credit limit. Those accounts not electing to participate in Auto-Pay, may be required to submit a credit application and a credit limit will be assigned based on creditworthiness. If you require additional credit, please let your sales respresentative know and they will get with our credit management team for approval. Additional credit approval may include a review of your credit as reported to major credit bureaus. Unishippers Credit Team reserves the right to review your credit with the major credit bureaus and/or adjust any credit limit up or down based on the demonstrated creditworthiness of the account at any time.

Inactive Accounts:

For security reasons and to ensure fraudulent charges are not billed to inactive accounts, UPS may cancel any account that is inactive for more than 60 days. This may be done without any prior notification.

Acceptance of Terms and Conditions * *

I have read, understand and accept the Unishippers terms and conditions outlined above

Signature

By signing below, you confirm that you understand and accept the above terms and conditions regarding UPS Small Package, Freight Shipping, UPS Capital Insurance, associated services and billing terms.

Authorized Signatory First Name *

Authorized Signatory Last Name *

Position With Company *

Please sign below (using your mouse or finger) * * 🛈

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