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
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.