 |
 |
 |
 |
 |
 |
 |
 |
 |
Customer Information Form | |
| Billing Address*: | |
| Accounts Payable Contact*: | Street Address*: |
| City*: | State*: Zip*: |
| Phone Number: | Fax Number: |
| Tax ID # *: | E-Mail Address*: |
| How did you hear
about our company/services?: | |
| Your Name: | Phone #: * (If different than above) |
| Are you a member of?: (please
check) Builders Exchange BIA Ad Fed | |
|
*Required fields | |
We will call you right away with your Best Courier Customer #. Billing statements are sent out weekly.
