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Professional Courier Delivery Messenger Service, Baltimore, Maryland, DC, Virginia

   COMMERCIAL CREDIT ACCOUNT / WEEKLY INVOICES

* optional fields

How did you hear about us? 
Business / Organization: 
First Name: 
Last Name: 
Email Address: 
Phone: 
Fax: 
Address: 
Address 2*: 
City: 
State: 
ZIP Code: 
Billing Address: Same as above
Address: 
Address 2*: 
City: 
State: 
Zip Code: 

Organization Overview 

Business Description: 
Form of Entity: 
Number of Employees: 
State of Incorporation: 
Year Established*:

First Trade Reference

Company Name: 
Phone: 
Address: 
Address 2*: 
City: 
State: 
Zip Code: 

Second Trade Reference

Company Name: 
Phone: 
Address: 
Address 2*: 
City: 
State: 
Zip Code: 
  

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YES! I want Billing References on Invoices.
YES! I want Delivery Confirmations.
YES! I want Online Ordering, Tracking, & Reporting!
Desired Username: 
Desired Password: 
Verify Password: 
  
Name of Authorized Agent for Applicant: 
I, as Authorized Agent for Applicant, understand that this information is given with the understanding that it will be held in the strictest of confidence. I understand that this information will be used by Maryland Messenger, to facilitate the opening of a charge account for the above named entity. I understand that all individual services performed by Maryland Messenger, result in charges that are due upon completion of the individual services. If this balance is not paid, and if this matter must be placed in the hands of an attorney, the applicant agrees to pay all costs incurred in the collection of the debt, including reasonable attorneys' fees.
I agree to these terms of service.Enter Initials
I decline.
Baltimore, Maryland, DC, Virginia     Baltimore, Maryland, DC, Virginia