Contact Information:
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| Company Name |
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Your Name |
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| Address |
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City |
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| State |
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Zip |
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| Phone |
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Fax |
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| Contact Email |
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Billing Email |
(leave blank if same) |
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Principals (officers, partners or owners)
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| Principal 1 |
(Include position) |
| Principal 2 |
(Include position) |
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Trade References ( give only those you buy from an open account)
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| Name |
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Account # |
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| Address |
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Phone |
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| Name |
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Account # |
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| Address |
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Phone |
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FREE Technology Options:
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Yes! I want Email notice when a new order is entered. |
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Yes! I want Email confirmations when my order has been picked up. |
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Yes! I want Email delivery confirmations |
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Yes! I want to receive invoices via Email (Sent to billing email) |
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TERMS:
IT IS MUTUALLY AGREED THAT ALL GOODS ARE ACCEPTED IN GOOD ORDER (EXCEPT AS NOTED). IT IS FURTHER AGREED THAT THE LIABILITY OF AFFORDABLE COURIER SOLUTIONS, INC. IS LIMITED TO A MAXIMUM OF $100 PER SHIPMENT. ANY AND ALL CLAIMS ARE WAIVED IF NOT SUBMITTED IN WRITING TO OUR OFFICE WITHIN THIRTY (30) DAYS OF DELIVERY. WAIT TIME FREE UP TO 5 MINUTES. $1.00 PER MINUTE WAIT AFTER 5. $.05 PER POUND WILL BE CHARGED FOR SHIPMENT WEIGHTS OVER 50 POUNDS. |
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By submitting this form you are agreeing to the above terms. |
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