A WORD FROM OUR CUSTOMER

I had what I thought was an unsolvable problem with deadlines and deliveries wrapped around a weekend. No regular delivery services could help. USAC welcomed the challenged, walked me through the particulars, picked up my package on a Saturday night and delivered across the country as promised on Sunday afternoon. They're true fixers.

-John Slocum

Feel free to submit this directly or to print and fax (800-795-9USA) or mail to 1320 Centre Street #202 Newton, MA 02459 or fax 617-332-3312

Opening an account gives you online ordering, tracking and reporting features for all your delivery needs.

We want to be your courier service solution.

Apply Today!

The undersigned company is applying for credit with USA Couriers, Inc, for courier services and agrees to abide by the standard terms and conditions of USA Courier, Inc. as printed below.

Company Name
Dun and Bradsheet #
DBA (if different)
Phone*
Contact Name
First Last
Email*
Fax
Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Website url*
Federal Tax ID #
Year business established
Are you a*
State of Incorporation
Name - Officer 1
First Last
Title - Officer 1
Address - Officer 1
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name - Officer 2
First Last
Title - Officer 2
Address - Officer 2
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name - Officer 3
First Last
Title - Officer 3
Address - Title 3
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Trade Reference #1
Contact Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Trade Reference #2
Contact Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Reference or Purchase Order Required*
- Yes
- No
Accounts Payable Contact*
First Last
Phone
Email*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Special Instructions
Please include any additional information that may help us in considering your application.
Representations*
*I represent that the above information is true and is given to induce to extend credit to the applicant. My company and I authorize to make such credit investigation as sees fit, including contacting the above trade references and banks and obtaining credit reports. My company and I authorize all trade references, banks, and credit reporting agencies to disclose to any and all information concerning the financial and credit history of my company and myself.*
- Agree
Terms*
*1. Bills are sent on the first day of each month. All Same Day delivery bills are payable within 30 days of invoice and if not paid by the within that time period are considered past due. 2. All Overnight Delivery bills are payable within 15 days of invoice and if not paid by the within that time period are considered past due. 3. No additional credit will be extended to past due accounts unless satisfactory arrangements are made with our credit department.
- Agree
Form completed by*
First Last
Title*
Date*
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