Welcome To Capitalexpress

Home Courier Distribution Warehousing

PLEASE WATCH FOR OUR NEW WEBSITE COMING SEPTEMBER 15, 2008. THE CUSTOMER LOGIN WILL BE MORE CONVENIENT, APPEARING ON THE HOME PAGE

ESTABLISH AN ACCOUNT

Account Name :
Parent Account :
Address
Street :
City :
State :
Zip :
Suite # :
Contact Info
Phone :
Fax :
Toll Free :
Email Address :

Billing Address :
Online Requests
Online Order Entry :	Yes No
Receive Invoice Online :	Yes No

Special Instruction :
Reference Or P.O. # REQ'D :	Yes No
Expected Activity [each month] :

Year In Business :
Type Of Business :
Bank :
Address
Street :
City :
State :
Zip :
No. Of Years :
Owner Office
Address Details :
Address Details :
Trade References
Phone # :
Address :
Phone # :
Address :
Phone # :
Address :
Accounts Payable Contact
Name :
Address :
Phone :
Email Address :
I, hereby grant permission to the references above to release any information necessary to establish this account.
Payments due upon receipt of invoice. A charge of 1.5% per month is charged on balances over 30 days old.