New Company Account Sign-Up Form

Company

Administrative Contact Name

Administrative Contact Phone #

Pick-Up Address

Administrative Email

Accounts Payable Contact

Accounts Payable Phone #

Email to receive invoices

Billing Address if different from pick-up address

Approximately how many time do you plan to use waely drop courier and delivery services per month

0-5

5-10

10-15

15 or more

Do orders need to be set up with an internal billing refernce or label

YES

How would you like to be billed? An Additional 3% processing fee is applied to all card payments

Invoice Monthly

Invoice Semii Monthly

Date

I agree to 15% late fee payments for invoices 3 days past the due date

Your Signature

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