ITEX - Join Now

On behalf of the Business entity and myself as Owner/Authorized Officer, or as an individual, I apply to participate as a member of the ITEX Marketplace and subscribe to the record keeping and administrative services of ITEX Corporation (“ITEX”). I acknowledge and agree: (1) to be bound by and comply with, and that the use of my ITEX account will be governed by, the terms and conditions of the Member Agreement (which includes the Marketplace Rules, the Privacy Policy) and any amendments thereto as may be posted from time to time on the ITEX website at www.itex.com; (2) the information on this application is correct; (3) that if applicant is Business entity, I have the legal capacity and authority to bind the Business to the terms of the Member Agreement; (4) that the Business entity and I, personally and in my individual capacity, will each be liable for all charges, fees and transactions made on all the accounts issued pursuant to this application or any future requests to add additional accounts; and (5) that ITEX may investigate information on the Owner/Authorized Officer and the Business entity, or individual applicant, with credit reporting agencies and others in order to approve or deny this application. Applicant will not be admitted as an ITEX Member unless and until this application is accepted by ITEX.

*By checking this box, you consent to electronic delivery of your 1099-B. If you do not consent, we will send your 1099-B by regular mail. You may change your delivery preferences by sending an email to support@itex.com or calling (800) 277-9722. Your consent will go into effect immediately and remain in effect until you revoke it.

* Legal Business Name:	* Tax ID: Check this box to consent to receive all tax documents via electronic delivery.*
* Doing Business As:
* Location Address:
* City:	* State:	* Zip Code:
* Phone:	* Fax:
* Website:
Mailing Address Same As Above Mailing Address:
* City:	* State:	* Zip Code:
Facebook:	LinkedIn:
X.com:	Instagram:
Vimeo:	YouTube:
Yelp:	Pinterest:
Business Type:
Business Description:

* Name:	* Title:
* Cell Phone:	* Email:

Name:	Title:
* Cell Phone:	* Email:

Pay by Credit Card: Visa Mastercard AmEx Discover
* Card Number:	* Exp Date: (MM/YY)
Billing Address Same As Above Billing Address:
City:	State:	Zip Code:
* Name on Card:

Pay by Electronic Funds Transfer (EFT): Checking Savings	Source:
* Routing #:	* Account #:
* Name on Bank Account:

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Membership Application

1. Account Information

2. Owner or Authorized Officer - to add additional owners or officers complete the Additional Owner/Authorized Officer form

2a. Additional Authorized User - to add additional users complete the Additional Authorized User form

3. Payment Options - CASH FEES will be billed to your Credit Card or EFT every four week cycle - complete only one section below

For Franchise Use Only

4. Agreement - must be signed by Owner or Authorized Officer/Additional Authorized User from section 2.

* Franchise Code:	* Category 1:
* Sales Representative:	* Category 2:
Notes/Special Requests:

X Signature of Primary Contact:
* X Signature of Additional Authorized User: