| Company Name: * |
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| Company Address: * |
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| Room/Floor #: |
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| City: * |
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| State: * |
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| Zip: * |
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| Phone: * |
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| Fax #: |
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| E-mail address: * |
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If your billing address or email is different from your general correspondence:
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| A/P Contact: |
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| A/P Address: |
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| Room/Floor #: |
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| City: |
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| State: |
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Zip:
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| Phone: |
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| Fax #: |
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| E-mail address: |
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| Type of Business: * |
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| Years Established: * |
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How much are your average monthly courier bills ? *
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How would you like to receive your invoices ? *
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How would you like to receive proof of delivery ? *
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Note:
If you wish to receive emails from RDS regarding your statements and proof of delivery, please remember to add our email address to your Safe Sender list in your email program so that important emails such as these don’t risk being blocked as spam.
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Credit Card Authorization
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| A credit card number is required for
a credit to be established. By filling out
the information below You are agreeing to allow RDS to charge your
account for the total due on a monthly basis. The account listed above
will be enrolled in this program, until such a time
that it is terminated in writing. Below is the credit
card(s) that you are authorizing RDS to charge.
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| Name on Credit Card: * |
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| Address: * |
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| City: * |
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| State: * |
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| Zip: * |
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| Card Type: * |
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| Card # * |
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| Exp. * |
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| Security Code: * |
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In opening this account, please be advised that
RDS Delivery Service Co., Inc., does not take responsibility
for cash, jewelry or securities. RDS Delivery Service
limits its liability to maximum of 200.00 per delivery
unless otherwise negotiated in writing. In consideration
for credit being extended by RDS, I acknowledge and
agree to the following: (1) Payment for all work performed
by RDS Delivery Service is personally, jointly, severally,
and unconditionally guaranteed within 15 days of billing;
(2) any charges outstanding after 40 days can be charged
on the credit card indicated above; (3) any charges
outstanding after 60 days from date of billing are
subject to collection, and all collection or arbitration
expenses, attorney fees, and court costs will be borne
by the purchaser; (4) all claims, requests for adjustments,
or notification of errors must be made within thirty
days; or charges are considered accepted; (5) RDS
Delivery Service Co., Inc assumes no responsibility
for the condition of the item being shipped; (6) this
agreement shall apply to all current and future charges
unless revocation is registered mail;(7) releases
RDS Delivery Service Co., Inc., its employees and
or agents from liability and responsibility for the
condition of the items throughout the receipt and
delivery process (8) represents to RDS Delivery Service
Co., Inc. that the contents of the shipment is not
hazardous or illegal in nature.(9) all work is subject
to the Terms and Conditions above. My name below is
confirmation that I have read and understand this
agreement. |
| Authorized Virtual Signature * |
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