NEW
ACCOUNT APPLICATION FORM
Kindly
fill out all the information in our form. Print and fax it back to Prime Time
Courier @ 780-447-3735.
Legal name of business:___________________________________
Mailing address:_________________________________________
City & postal code:_______________________________________
Contact name to guarantee payment:_______________________
Phone number accounts payable:___________________________
Fax number accounts payable:_____________________________
We require a credit card
number to guarantee payment. The credit card will not be used unless your
account goes over 90 days.
Name on card:_
_________________________________________
Card number:___________________________________________
Expiry date:____________________________________________
I authorize Prime Time Courier to use my
credit card for payment if my account is not paid within90 days of the billing
date.
X________________________________
Date_________________
(Please
sign and date)