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GENERAL INFORMATION
Company Name: 

 
SHIPPING ADDRESS
Address: 
City:   State:   Zip: 

 
MAILING/ BILLING ADDRESS
Address/ P.O. Box: 
City:   State:   Zip: 

 
CONTACT NAMES AND NUMBERS
General Office Phone:   Fax: 
Courier Contact Person:   Direct Phone: 
Accounting Contact Person:   Direct Phone: 
Type of Business:           Year Established: 
P.O. Number for Courier if Required: 

 
REFERENCES
Company Name:   Phone: 
Address: 
City:   State:   Zip: 
Account Number:   Contact: 
Company Name:   Phone: 
Address: 
City:   State:   Zip: 
Account Number:   Contact: 

 
ADDITIONAL INFORMATION

 
SURVEY QUESTIONS
(We appreciate your input)
What Courier Service, if any, are you currently using? 
How were you referred to us?  TV  Yellow Pages
Referral: 
Other: 

 
PLEASE NOTE
Gotta Have It Courier, LLC generates invoices weekly.  The invoice covers all deliveries from the previous week.  As a common carrier, federal regulations require that our terms not exceed net 10 days.  Additionally, we reserve the right to charge interest at a rate of 1.5% per month on past due invoices.

 
   

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So when you "gotta have it" . . .
Call Gotta Have It Courier Service, LLC!

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