Document & Parcel Delivery

To create an account, please fill in all fields of the following form:

Information:  
Firm:  
Street Address:  
City:  
State:  
Zip:  
Phone Number:  
Form Of Organization:  
How Long In Bussiness:  
How Long At Present Address:  
Previous Address (if above is less than 3 years):  
City:  
State:  
Zip:  
Type Of Business:  
Credit References:  
Name:  
Address:  
Phone  
   
Name:  
Address:  
Phone:  
Bank References:  
Name:  
Address:  
Acct Manager:  
   
Name:  
Address:  
Acct Manager:  
Principals of Firm:  
Name:  
Address:  
Position:  
Phone Number:  
   
Name:  
Address:  
Position:  
Phone Number:  
   
 

NOTICE: The following is provided for your information:
By submitting this form, when the account is opened you agree:
1) To pay each invoice within 30 days.
2) To pay a 1.5% service charge per month on delinquent invoices.
3) To pay attorney's fees in the event that collection efforts become necessary.
     

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Phone: (425) 462-1150    Toll Free: (800) 366-1150    Fax: (425) 646 9293