FEDEX ACCOUNT APPLICATION FORM
Thank you for choosing FedEx! Below are 3 simple steps to open a FedEx account via debit or credit card:
1.
Complete the form below and sign
2.
Photocopy of one of the following:
Passport (with ID)
Driver’s license
SSS ID
TIN ID
3. Email the completed form and the identification document to phbdg@fedex.com or fax it to
+63 2 988 2333 or +63 45 499 3797.
Please note that:
1. For making payment via debit or credit card mode, a Foreign Transaction Fee may be levied by the
respective card issuing bank.
2. We will process your request within one (1) business day. To learn more about FedEx Services, please visit
fedex.com/ph
PERSONAL INFORMATION (Please use capital letters)
NAME:
ADDRESS: (Residential / Business*)
*if business please specify company name
STATE: POSTAL CODE:
EMAIL: CONTACT PHONE NO:
TIN: FAX NO:
*DEBIT/CREDIT CARD NO. (LAST FOUR DIGITS) CARD TYPE **CREDIT LIMIT:
(MASTERCARD/VISA Only):
|___|___|___|___|
Driver’s License No. / Passport No:
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
*Please delete accordingly
** Not applicable for Debit Card
I understand and acknowledge that the information contained is complete and accurate and by knowingly making a
false declaration, I may be liable for prosecution, and I accept responsibility for this declaration.
I acknowledge that I am responsible for all shipping charges, duties and taxes and all other amounts due and payable
to Federal Express Pacific Inc. (“FedEx”) and its affiliates. I agree that in order to pay all such amounts promptly I
hereby authorize FedEx or its affiliates to charge such amounts to the authorized Debit/Credit Card, details of which I
have provided above (“Authorized Card”) and to take all actions and to complete all necessary documentation to
obtain payment from the relevant card company. I warrant that the details of the Authorized Card are correct and that
the card is valid and has not been withdrawn or cancelled.
I agree that FedEx has the absolute discretion to decline my application without giving any reason and retain
documents submitted as property of FedEx, and that FedEx reserve its right to suspend my account for reasons
wholly within FedEx discretion including but not limited to misuse, abuse and non-settlement of payments.
I agree to indemnify FedEx and its affiliates for all costs, expenses or loss in connection due and payable to FedEx or
its affiliates.
I understand that FedEx will collect and process personal information or sensitive personal information in relation to
providing me its services. FedEx reserves the right to dispose of such information in accordance with applicable
laws, without further notice to me. I have read and agree to the Customer Fair Processing Notice attached herewith
and I provide my consent for FedEx to collect and process personal information or sensitive personal information
contained in, or otherwise included with, this form.
____________________________________________ __________________________
Signature over printed name (same as signed on card) DATE (Month/Day/Year)
For FedEx Customer Service USE ONLY Account Number: _________________
Customer Fair Processing Notice
Using your personal information
1. Federal Express Pacific Inc. (“we” or “us”) collects personal information or sensitive personal
information (“personal information”) when you register with us or place an order for products or
services.
2. We will use the personal information you provide to provide the products/services, and to process
your payment for such products/services.
3. In processing your order or processing your payment, we may share your personal information
with:
credit reference agencies and other companies for use in credit decisions, for fraud
prevention and to pursue debtors, and they may keep a record of any search that they do;
subsidiary/associated companies, business partners, suppliers and sub-contractors, who
provide support services to us in connection with the operation of our business, to enable us
to facilitate your order, provide our products/services and process your payment;
any relevant government or regulatory authorities; and
third parties in connection with any corporate restructuring, reorganization, transfer,
assignment of all or part of our company or businesses, or such similar purposes.
We will not give your personal data to any other third party.
4. If you are providing personal information on behalf of an individual, you confirm that you have their
consent to provide their personal information to us and have told them why we may collect, use
and disclose their personal information.
5. You may request access to your personal information that we hold about you and information about
the ways in which we have used and disclosed that information, and may request that we correct
any data relating to you which is inaccurate. We may charge a reasonable fee for the processing of
any data access request.
6. You may ask us to stop collecting, using and disclosing your personal data at any time. However, if
you do not provide this personal data or ask us to stop collecting, using or disclosing it, we may not
be able to process your order or payment, provide the products/services or comply with applicable
laws.
7. We reserve the right to dispose of the personal information we have collected in a manner which
complies with the relevant laws on the matter, without further notice to you.
8. For further information on how your information is used, how we maintain the security of your
information, and your rights to access and correct information we hold on you, and/or to ask us to
stop collecting, using or disclosing your information, please see our privacy policy
www.fedex.com/ph/privacystatement or contact our Data Privacy Officer at phcsr@fedex.com.
