Courier, Freight and Warehousing Services - Atlanta GA

COMPANY INFORMATION
Company Name:
Your Name:
E-mail:
Address 1:
Address 2:
Suite:
City:
State:
Zip Code:
Phone:
Fax:
Type of Business:
Years in Business:
BILLING ADDRESS	(If different than above)
Company Name:
Your Name:
Address 1:
Address 2:
Suite:
City:
State:
Zip Code:
Phone:
Fax:
SOLE PROPRIETORSHIP
Owner Name:
PARTNERSHIP
Partner Name:
Partner Name:
CORPORATION
President Name:
Vice-Pres Name:
Secretary Name:
Registered Agent Name:

Accounts Payable Manager:
Phone:

BANK INFORMATION
Bank Name:
Branch Location:
Account Number:

TRADE REFERENCES
1.) Company Name:
Address:
Phone:
Contact:

2.) Company Name:
Address:
Phone:
Contact:

3.) Company Name:
Address:
Phone:
Contact:

BILLING REQUIREMENTS
Do you require references for your billing purposes? YES NO
If so, what kind?

Does your company use bills of lading or other paperwork that need to be returned with your invoice? YES NO
If so, what kind?