NEW V.I.P. ACCOUNT INFORMATION SHEET
(PLEASE PRINT)
THIS INFORMATION SHEET DOES NOT OBLIGATE THE CLIENT TO UTILIZE UNITED
EXPRESS MESSENGERS, INC. FOR DELIVERY NEEDS AND THERE ARE
NO CHARGES FOR HAVING AN ACCOUNT
BILLS ARE DUES WITHIN 30 DAYS OF BILLING DATE
Company Name (*)
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Street Address (*)
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City (*)
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State (*)
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Zip
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TELEPHONE # (*)
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FAX #
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Billing Address (*)
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Email Address (*)
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Nature of Business (*)
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Office Manager
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Reference Description (*)
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  EXAMPLE: PO#, CLIENT NAME OR SHOW #, SHOW TITLE, PROJECT NAME, EXT
Approximate Number of Deliveries per Week (*)
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How Did You Hear About Us (*)
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  EXAMPLE: GOOGLE AD, YELP, FACEBOOK, TWITTER, BUSINESS NAME
Name & title (*)
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Date
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Credit cards We Accept