Credit Application

Contact Information:

(leave blank if same)

Business Information:

Principals (officers, partners or owners)

(Include position)

Trade References ( give only those you buy from an open account)

FREE Technology Options:

Yes! I want Email notice when a new order is entered.

Yes! I want Email confirmations when my order has been picked up.

Yes! I want Email delivery confirmations

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.

By submitting this form you are agreeing to the above terms.