NAME:
 DATE:
ADDITIONAL NAMES:
 TITLE:
  TEL. NO:

FAX. NO:
COMPANY NAME:


 CELLULAR NO :
DELIVERY ADDRESS : TEL. NO:

FAX. NO:
 

INSURANCE

ACCEPT DECLINE

MAILING ADDRESS (IF DIFFERENT) : E-MAIL ADDRESS :


DATE STARTED : __________________

RENEWAL DATE : ____________________


CUSTOMS AUTHORIZATION:
I hereby authorize E Couriers to clear and deliver all packages on my behalf. I will accept and refund any charges in so doing.

Name: _______________ Signature: ________________ Title:____________________
 

NAME:
DATE STARTED:
 RENEWAL DATE:


YOUR E ZONE ADDRESS FOR PACKAGES ONLY IS:

#_____________________ 7620 nw 63RD St. Miami, Florida 33166

*RATES SUBJECT TO CHANGE WITHOUT NOTICE.



______________

AMOUNT $

 

 



_____________________

AUTHORIZED SIGNATURE

 

 


LIMITATION OF CARRIER’S LIABILITY

In consideration of the charges for the movement of any shipment, it is agreed that the liability of E COURIERS shall be limited, in any event, to the sum of $100.00 UD Dollars.

No Liability whatsoever is assumed for delay in delivery or for consequential damages of any kind, such as loss of income, loss of interest or loss of business opportunity, or any loss or damage arising from the inherent nature of the goods.

E COURIERS does not agree to carry and it is agreed that E COURIERS accepts no liability for items of unusual intrinsic value such as cash, negotiable securities, jewels, furs or like.

Our method of operation includes inter alia carrying on board the aircraft, accompanied passenger baggage and unaccompanied air freight. The term “Courier Service” does not necessarily imply that a man will be on board the aircraft.

In the event that the Customer fails to make payment within 30 days after said balance is established, said balance shall bear an additional service and handling charge at the rate 1½% per month and E COURIERS may, as its option, turn the said balance over to an attorney for collection and there shall then be added to the balance due, as and for the attorney’s fees, either the actual fee to be paid to the attorney for his services of the minimum fees recommended by the local Bar Association, whatever is less or sell said items for recovery of balance outstanding.