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Santa Monica Express

 
Contact Person  
Name
Title
Email Address
Phone
Fax
   
Company  
Name
Street Address
City
State, Zip/Postal Code    
   
Year Established
Business Type
Nature of Business
Federal Tax ID
   
Billing Address
City
State, Zip/Postal Code    
   
Number of weekly orders
How did you hear about us
Amount of Credit Requested
   
Company Principals or Owners  
Name, Title    
Name, Title    
Name, Title    
Name, Title    
   
Persons Authorized to
Place Orders		  
Name, Title    
Name, Title    
Name, Title    
Name, Title    
   
Bank Reference Information  
Bank Name
Account Number:
Contact Person:
Bank Address:
City
State, Zip/Postal Code    
Telephone Number:
   
Trade Reference Information  
  Company #1  
  Name
  Account Number
  Address
  City
  State, Zip/Postal Code    
  Telephone Number
  Company #2  
  Name
  Account Number
  Address
  City
  State, Zip/Postal Code    
  Telephone Number
   

There will be a 1.5% per month interest charge on all balances unpaid 15 days of the invoice date. We hereby authorize the above listed bank and trade references to release information to Santa Monica Express Inc.for use in the evaluation of this credit application. In consideration for extension of credit debtor agrees to credit terms as specified on the invoice and in the event creditor brings suit on any debit owed by debtor the creditor (if it is the prevailing party) shall be entitled to recover, in addition to the amount of the debt, its costs, attorney fees, and where applicable any interest allowed. I personally and unconditionally guarantee payment of any and all indebtedness by the above named business.
   
   
Signature ____________________________________________
   
Print Name* (required field)
Title
   
Please print and sign this page and fax it to the following number: (310) 395-9004

Santa Monica Express is a full service provider of messengers in Santa Monica, West Los Angeles, Culver City, Beverly Hills, Venice, Marina Del Rey, Malibu, Pacific Palisades, Century city, Hollywood, West Hollywood, Brentwood, Bel Air, Westchester, Burbank, Encino, Sherman Oaks, Universal City, and much more. Santa Monica Express Delivery and Shipment Service includes package delivery service, trucking service, courier and messenger service, air courier, air freight, super rush, and same day service. You can count on Santa Monica Express to for professional, guaranteed, on time service in Southern California and beyond.