Please fill in all of the required fields below. Upon receipt we will process your application and a
representative will contact you. Incomplete forms will not be
processed. If you need any assistance please feel free to
contact us. |
| |
|
|
Choose a Membership Plan |
Basic
This plan is best suited for new traders or those who trade
less than $3000 per month
|
Enrollment |
Real
Time Trades |
Subscription Fee |
|
$495.00
|
5% Per Transaction |
$15.00 per Month |
|
| |
|
|
Unlimited
This plan is best suited for experienced traders who
process more than $3000 in transactions per month
|
Enrollment |
Real
Time Trades |
Subscription Fee |
|
$995.00 |
0%
Per Transaction |
$149.99 per Month |
|
| |
|
|
Lifetime
This plan is best suited for highly experienced traders who
process $50,000 - $100,000+ per year
|
Enrollment |
Real
Time Trades |
Subscription Fee |
|
$5000.00 |
0%
Per Transaction |
$0.00 per Month |
|
| |
|
|
Each account is charged 15 barter credits per
month. |
| |
|
| |
|
| |
|
|
Please Tell Us
About Your Company |
| |
|
|
What type of business is your company?
Individual
/ Sole Proprietor
Corporation
Partnership
Other
Are you exempt from backup withholding?
We are required by law to gather either a Tax ID or Social
Security Number. Please provide one: |
| Tax
ID: |
or SSN: |
| |
|
|
Business Name: |
|
|
Address: |
|
|
Suite or Unit #: |
|
|
City, State, and Zip Code: |
|
|
Work Telephone: |
|
|
Fax Number: |
|
|
Cell Phone: |
|
|
Email Address: |
|
|
Website: |
|
|
What Type of Business are You In? |
|
| |
|
| |
|
| |
|
| |
|
|
Your Information |
| |
|
| Your
First Name: |
|
|
Your Last Name: |
|
| Your Telephone
Number: |
|
|
Your Position with the Company: |
|
| |
|
| |
|
| |
|
| |
|
Security Information
To ensure full security on your account we ask you for
a few security measures: |
| |
|
|
4-Digit Personal PIN CODE (numbers only): |
|
|
What is your Mother's Maiden Name? |
|
| |
|
| |
|
| |
|
| |
|
|
Payment Section
All accounts require a valid credit card for processing
of our membership charges. |
| |
|
|
Visa
MC
Amex
|
|
Card Number:
Expiration (mm/yy):
3-digit Security Code (4 on front of Amex):
|
|
Name as it Appears on Card: |
|
|
Billing
Address: |
|
|
Billing
City, State, and Zip Code: |
|
| |
|
| |
|
| |
|
| |
|
|
Referral Section
We would like to give credit where credit is due. Who
may we thank for referring you to us? |
|
|
| |
|
| |
|
|
I authorize US Trade and its affiliated
companies to debit and credit my new exchange account for all
charges and credits incurred. By signing below I agree to the
Membership Agreement, incorporated herein by reference,
located online at www.usteb.com. Unless otherwise noted all
charges shown above are in cash. All memberships, renewals, or
changes to the account are for a minimum of twelve months. I
understand that the Agreement may change from time to time and
that all changes will be posted on the website. I also authorize
US Trade and its affiliated companies to debit my credit card or
checking account for all cash charges incurred. I am fully aware
that if I close my account at any time and have a negative barter
balance this amount becomes due in cash.
On June 30, 2000 Congress enacted the Electronic Signatures in Global
and National Commerce Act ("ESIGN" or "the Act"), to facilitate the use
of electronic records and signatures in interstate and foreign commerce
by ensuring the validity and legal effect of contracts entered into
electronically. The Act went into effect in October 2000.
Electronic Signature (type your full name here):
For Full Terms and Conditions of our Membership
Agreement
Click Here
|