Xpedite Logistics
CUSTOMER INFORMATION
Fax 210-798-1035
Company Name:_________________________________________________Telephone:__________________
Address:______________________________________________________Fax Number:__________________
______________________________________________________Tax I.D. No:___________________
Billing Address: _______________________________________________________________
Send invoices to the attention of:________________________Telephone:____________________
Type of business:
References:
Business Name:____________________________________________________________________________
Telephone:__________________________ Account No:_________________________
Business Name:____________________________________________________________________________
Telephone:__________________________ Account No:_________________________
Business Name:____________________________________________________________________________
Telephone:__________________________ Account No:_________________________
Billing Reference: Each time you place an order we can ask you to
provide us with a specific reference
number or name, such as "job number", "Client/Matter", etc. which will
appear on your invoice.
Please choose one of the following:
In consideration of Xpeditelogistics extending credit
to Applicant, Applicant agrees to pay
for services due upon receipt of the invoice for said services.
Signature of individual authorized to open a credit account in the name of your company:
IMPORTANT:
Authorized Signature:______________________________ Date:____________