Membership Application

Contact Information
Mailing Address
Credit Card Information

As an option, you can provide a credit card information to be used for future fee payments. Please leave the three fields below empty if you don't want to do that.

You will not be charged now. Our representative will contact you to review and confirm all details and conditions of your membership.

Billing Address

To complete your Application, please, also download, print, fill out and sign the W-9 Form and return it to:
13236 North 7th Street, Suite # 4-125
Phoenix, AZ 85022

By checking this box I am stating that I have read, understand and agree to abide by these Trading Rules and Regulations in order to open my account with BarterWorks. 

Please let us know who has referred you to us and we will make sure to thank them.