Lightning Express
About Us Services Sign Up Careers News Contact Us   
Sign Up!  
 
Just fill out the form below...

And one of our sales representatives will call you back. You can also reach us at (410)342-2700 to speak to a sales representative immediately.

NEW ACCOUNT APPLICATION

General Information
company name phone
 
address
 
 
city  state zip
 
email address fax number
 
 Billing: click if same as above
address
 
 
city  state zip
 
employer identification number (IRS)
 
company officer #1 name: title
 
company officer #2 name: title
 
nature of business years in business
 
type of company (check one):
inc  partnership  other
 
type of products or service utilized (check all that apply):
messenger service mail pick-up/delivery
trucking warehousing & fulfillment
office supplies  
 
Trade References
Reference #1
company name phone
 
address
 
 
city  state zip
 
service provided account #
 
Reference #2
company name phone
 
address
 
 
city  state zip
 
service provided account #
 
Bank Information
bank name phone
 
address
 
 
city  state zip
 
bank branch
 
account type account number
 
I hereby authorize Lightning Express to receive bank account and/or trade reference information in connection with my account with Lightning Express and release and hold harmless all providers of such information.
 
your name title
 
  
date  
 


lightning wear