eShipPlus - Get Eship Account

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Account Request Submission

Please fill-out the form below. Form must be submitted by owner or officer of your company. All required fields are marked with '*'. Click here for a pdf version of this form if you prefer to send it by mail.

Request Date: 2012-02-06

ACCOUNT INFORMATION

Name*:
DBA:
Tax Id*:
Referred By*:
Owner/CEO:
Website:

BUSINESS ADDRESS

Street*:
City*:
State*:
Postal Code*:
Phone*:
Fax:
Email*:

BILLING ADDRESS

Copy Business Address
Street*:
City*:
State*:
Postal Code*:

ACCOUNTING CONTACT INFORMATION

Contact Name*:
Email:
Payables Contact*:
Payables Phone*:
Payables Fax:
Payables Email:

INVOICE PAYMENT REQUIREMENTS

BUSINESS REFERENCES
Type	Name*	Phone*	Fax*
Trade Reference 1*:
Trade Reference 2*:
Trade Reference 3:
Bank Reference 1*:
Bank Reference 2*:

TERMS OF PAYMENT/STATEMENT

Logistics Plus, Inc. typical customer Term of Payment is Net 30 Days from date of invoice, provided the credit application is approved. Alternative terms may be offered if the application is incomplete or the applicant’s credit score does not meet Logistics Plus, Inc. standards. We reserve the right to charge customers finance charges of 1.5% per month, or the highest rate permitted by law, on any past due amounts. Additionally, any costs incurred for the collection of charges beyond the Terms of Payment, through litigation or independent collection resources are the sole responsibility of the customer, including reasonable attorney fees and court costs. Should litigation be required with this account, filing will occur in the Court of Common Pleas of Erie County, Pennsylvania or in the United States District Court for the Western District of Pennsylvania and shall be subject to the Commonwealth of Pennsylvania Law.

I (We) understand and agree to the above stated Terms of Payment and I (We) authorize Logistics Plus, Inc. to verify and investigate all information provided on this credit application.

Please Note:

Account Request: Filling out this form does not constitute an account setup guarantee. Account access is subject to acceptable credit check and good standing of requester.
Credit Check: Information provided here is used to perform a credit check on requesting organization.
Privacy: Information collected here is used to satisfy account request by requester. It may be used to follow-up with you during the setup process and will not be disclosed or sold to any other party for any reason. Your privacy is very important to us.

Terms & Conditions