Account Setup Packet

Company Name *

Primary Shipping Address *

Service(s) Desired *

Primary Shipping Contact *

Primary Shipping Contact Phone Number *

Primary Shipping Contact Email Address *

Any Special Requirements *

Invoice Delivery Option *

Email

Mail

Payment Options *

Check

ACH

Credit Card

Billing Address (if different than shipping address)

Primary Billing Contact *

Primary Billing Contact Phone Number *

Primary Billing Contact Email Address *

Any Special Billing Requirements *

Preferred Training Dates * +

Please list the people who need to be involved in training.

+-

What would you like training on? *

By signing, I authorize Unishippers to create an account number and understand that I will be billed by Unishippers on behalf of Unishippers' preferred carriers in order to receive my discounted rates. I also understand that my discounted rates are subject to change if my payments are not made within the terms stated on each invoice. *

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