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The Barter Group Online Application

Thanks for your interest in joining The Barter Group.

Please fill out this Client Application and Agreement form. Once you have completed the application we will contact you by telephone to reconfirm your registration. You will then receive an email with your new Member Number and PIN Number as well as other valuable information regarding your new membership.

Barter Group applicants must conduct business in Arizona. See Terms & Conditions.

The Barter Group keeps 3rd party records of all transactions. Trade dollars are considered income in the year they are credited to your TBG account. The Barter Group reports your barter sales to the IRS on Form 1099-B at the end of the year.

Membership Application * Required Fields

Business Name *

Principal Contact *

Promo Code

Where did you hear about TBG? *

If Other

Contact Information

EIN / Social Security # *

Year Business Started *

Type of Business *

Email *

Phone *

Fax *

Website

Facebook Page (if available)

Twitter (if available)

Products and/or services available *

Physical Address

Business Address *

City *

State *

Zip Code *

Mailing Address (if different)

City

State

Zip Code

Home Address (if different)

City

State

Zip Code

Trade References

Trade Reference 1 *

Contact Name (if applicable)

Phone number

Trade Reference 2 *

Contact Name (if applicable)

Phone number

Supply Tax Information

Attach a W-9 for your company

Click here to download a W-9 tax form. You must upload or fax to 480-483-7241 before we can process your application.

Terms and Conditions

Client requests that International Commodities Exchange, Inc., dba The Barter Group, open a barter account for Client. Client agrees to abide by the terms and conditions and any Regulations of The Barter Group now in effect or as amended from time to time. Client agrees to make the goods and/or services listed below available on 100% barter. Client shall pay $495.00 publication fee, with this application and a 6% fee, payable in cash for each purchase and/or sale transaction.

I agree that all initial and monthly dues or other fees to International Commodities Exchange, Inc., dba The
Barter Group, May be automatically charged to my credit card as indicated:

By checking this box you agree to the terms above.

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