New Acount Information / Application - Accurate Courier Service - San Antonio Texas

Company Name:

Address:

Zip:

Phone:

Fax:

Contact:

E-mail:

Billing Information

Address:

Zip:

Phone:

Fax:

Contact:

EIN#:

Credit Reference

Phone:

Fax:

Contact:

Estimated Volume

Pickup/deliveries
per month:

(minimum 20 per month)

All Accurate Courier Service customer billing cycles begin on the first day of each month and end on the last day of each month. Payment for deliveries is due on or before the fifteenth of the following month. For Example: Payment for all deliveries in the month of January will be due on or before February 15th.

Any payment received after the fifteenth will incur a 15% late charge. There is a $25.00 fee for returned checks. Any account that exceeds 30 days past due will be placed on hold until payment is received.

Comment / Message:

I have read and understand the Billing Agreement:

YES NO

Your Name:

Date:

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