Place an Order

FOR ALL NEW CUSTOMERS, PLEASE REGISTER FIRST TO OPEN ACCOUNT WITH US !!!

>> Pick up information
Company Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:

>> Service Information
Type of Service:	4 Hours Same Day Overnight HOT RUSH
Weight:	Lbs
# of Packages:	(NUMBER OF SKIDS AND SIZE OF THEM)

>> CONSIGNEE Information
Company Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:

>> Billing Address (if different than pick-up or consignee)
Company Name:
Address:
City:
State:
Zip Code:

>> Terms & Conditions
Invoices are sent approximately every two (2) weeks, are payable upon receipt and become delinquent thirty (30)) days after date. Delinquent accounts will be subject to interest at the rate of 18% per annum. If your procedures cannot adapt to this schedule, please fill in the blank below with information regarding your payment schedule. If we agree to abide by your schedule, we will consider your account overdue seven (7) days after the date(s) specified below.
Agree to terms:	Please check if you agree to terms & conditions
By submitting this form, you agree to the above terms and responsibility of payment of invoices when due.
Name:		Title: