ACE ‚ÄčTRANSPORTATION INC.

"AT YOUR SERVICE"

24 HOURS - 7 DAYS

248-543-1300 * FAX 248-655-1084

WWW.ACETRANPORTATIONINC.COM

‚Äč


CHARGE ACCOUNT APPLICATION


DATE______________


COMPANY NAME_____________________________________________________________________

BILLING  ADDRESS___________________________________________________________________

                          ___________________________________________________________________

                          ___________________________________________________________________

PHONE  NUMBERS____________________________________________________________________

FAX  NUMBER _______________________________________________________________________

EMAIL ADDRESS______________________________________________________________________


PERSON/PERSONS AUTHORIZED TO REQUEST USE OF CHARGE ACCOUNT _______________________

____________________________________________________________________________________

____________________________________________________________________________________

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AUTHORIZED SIGNATURE _______________________________________________________________


*PLEASE INCLUDE ANY ADDITIONAL INFORMATION YOUR COMPANY REQUIRES FOR BILLING PURPOSES. EXAMPLES: CLIENT ID#, CLAIM#, ORDER#, ETC.


**SIGNING ABOVE CREATES AN AGREEMENT OF 30 DAYS PAYMENT REMITTANCE. A 2% LATE FEE WILL BE ADDED TO ANY INVOICE 30 DAYS OR MORE OUTSTANDING.