Account Setup

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Controlled Logistics Account Setup
Company Information for Account:    
Company/Customer Name:  
Attention:  
Title:  
Street Address:  
City:  
State:  
Zip:  
Phone Number:  
Promotional Code:  
Contact Information for Account:    
Name:  
Title:  
Phone Number:  
Extension:  
Fax:  
Email Address:  
Preferred Method
of Contact:

 
 
Phone
Fax
E-mail
Bill To Information (if different from above):    
Name:  
Street Address:  
City:  
State:  
Zip:  
Shipping Requirements Information:    
Frequent Destinations Shipped To:   Frequency:   Volume:
   
   
   
   


 

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Copyright 2004 Controlled Logistics, LLC.
Last modified: 03/18/05