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Fill out this form below and one of our JWX Representatives will get in touch with you to get your account started. Have questions? Contact us.

How did you hear / Member Affiliation
Payment Method
Credit card payments will be billed each week for all shipments sent. (We will contact you for the credit card number for security)
Statements are generated weekly and are due on or before the due date. JWX. reserves the right to suspend service if payment is not received on or before the due date.
Business Information
Insurance and Shipment History
Claim History
Business References
How do you want to be contacted?
Security Check *
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Billing Information
Billing Address is same as Business Address