Custom Courier - Application for Credit

Company History

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Current Bank:

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Contact Person:

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Company References (List three suppliers)

Company 1

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Address:

Street AddressStreet Address Line 2CityProvincePostal CodeCountry

Phone:

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Phone Number

Fax:

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Company 2

Company Name:

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Street AddressStreet Address Line 2CityProvincePostal CodeCountry

Phone:

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Company 3

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Street AddressStreet Address Line 2CityProvincePostal CodeCountry

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Terms: Payment due upon receipt of invoice. Past due accounts are subject to a service charge of 2% per month after 30 days. Custom Courier invoices are generated bi-monthly (on the 1st and 16th of the month).

Invoices and detailed reports can either be mailed or emailed to you. If you choose electronic email billing, you will not receive an invoice in the mail. Please ensure we are notified of any changes in email addresses to avoid any delays in receiving your invoices.

Please check here if you would like your invoices and detailed billing reports to be e-mailed to you.

E-mail address for e-billing:

Application for Credit

Company Information

Company History

Company References (List three suppliers)

Company 1

Company 2

Company 3

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