ITEX in San Antonio℠

Do NOT print this form!
Use the Create My New Account button at the bottom of the page.

1. Account Information

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:	Website:
Business Description:

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

Name:
Cell Phone:	Email:

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

One TIme Registration: $395.00
Preferred Fee Plan: 6% transaction fee on sales & purchases	Association Fee: $25 cash + 10.00 ITEX

I was invited by:

ITEX Account Number:

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

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

By checking this box, you agree to receive SMS text messages from ITEX in San Antonio to receive member offers and notifications. You will be given the ability to reply STOP to opt out at any time. Message and data rates may apply. Message frequency will vary.

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

X Signature of Primary Contact:

Date:
03/25/2025

Get Started

1. Account Information

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

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

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