Company Name Contact Name Telephone Number Fax Number e-Mail Address
Mailing Address Street City State Zip		Physical Address Street City State Zip
Credit Card Information for Panda Postage Credit Card Number (no spaces) Validation Code Expiration Date (i.e. 00/00) AMEX MasterCard Visa Billing Name Billing Street Billing City State Zip Note: Please list information exactly as it is displayed on your credit card bill. Monthly postage you wish to prepay (Dollars only) Authorized replenishment amount (Dollars only) Authorized By Title Date (i.e. 00/00/0000)

By submitting this agreement you are authorizing Express Small Parcel, Inc. to charge your credit card information provided above for all shipments processed under your account. ESP, Inc., if for some reason has a shipment that is processed but has not been paid for by the credit card information, will bill your company directly and you agree to pay all charges associated with the shipment in question. All disputed shipments should be brought to the attention of ESP, Inc., espprogramming@gmail.com, for any challenges. ESP, Inc. is obligated by contract to share shipping information with the USPS and Endicia for analysis purposes only. By signing this agreement you agree to all terms and conditions provided by the USPS ESP, Inc. and Endicia. ESP, Inc. reserves the right to stop servicing your account for failure not to pay www.pandapostage.com.