*Please only complete this form if you’re interested in establishing a corporate account for recurrent delivery or warehousing service.
Date (required)
How did you hear about us?
Approximately how many times do you plan to use Washington Express courier services per month? Less than 44-89-1213-1920 or more
Company Name:
Pick-up Address:
City, State, Zip:
Pick-up Phone #:
A/P Contact:
A/P Phone #:
E-mail(s) to receive invoices:
Billing Address (if different from pick up address):
Billing City, State, Zip:
How would you like to be billed? Invoice MonthlyInvoice Semi-MonthlyAuto Card WeeklyAuto Card Monthly *An additional 3% processing fee is applied to all credit card payments
Do orders need to be set up with an internal billing reference or label? (i.e. client matter #) YesNo
Administrative Contact:
Administrative Contact Phone#:
Administrative Contact Email:
To Receive Service Alerts & Updates.