Customer Setup Customer Information:Company NamePhysical AddressCity, State, ZipTax IDDUNSAccounts Payable Contact info:Billing addressCity, State, ZipContact NamePhoneEmailBilling and Invoicing info:Email to send invoicesDo you require backup documentation for invoicing? (lumper, receipts, etc.)Credit Reference 1:NameAddressCity, State, ZipContact NamePhoneEmailCredit Reference 2:NameAddressCity, State, ZipContact NamePhoneEmailCredit Reference 3:NameAddressCity, State, ZipContact NamePhoneEmailCredit Reference:I/we certify the above information is true and accurate. Upon agreement by Connected Logistics Inc to extend credit to the entity names above. I /we agree to remit freight bill payment to Connected Logistics Inc within 30 days of Connected Logistics Inc., freight bill subject to the following terms:I agree Any fees, including reasonable attorney fees and litigation costs, incurred by Connected Logistics Inc. if a collection agency or attorney is obtained to collect your past due invoice will be the sole responsibility of the customer.Signature(Required)Your NameYour NameYour NameYour Name Δ
