Hot Shot Services - Create New Account

Please fill out this form to create a new account with Hot Shot Services.

Step 1 - Complete Information About Applicant
Your Name		Title
Email		Telephone #
Ext		Fax #
Firm Name		Telephone #
Accounts Payable Name:		Fax # for P.O.D
Physical Address
Address:		Floor
Suite #		City
State		Zip Code
Billing Address
Address:		Floor
Suite #		City
State		Zip Code
Does the firm have offices in multiple cities that require our services?			Yes No
If multiple cities require our services, please enter the number of locations
Type of Business			Legal Classification Indivigual Partnership Corporation
Name of Owners, Partners or Officers
Name		Title
Name		Title
Step 2 - Business References
Businesses With Whom You Have Open Accounts
Name of Business:	Contact	Telephone #	Ext



CONFIDENTIALITY STATEMENT: The following information is required to process this application. It is understood that this information will be held in confidence and used only by our credit department.
Step 3 - Bank Reference
Principal Bank		Branch or Location
Contact		Telephone
Ext		Account #
Once your application has been approved, would you like Hot Shot Services to open a free online account that will enable you to ship packages online, manage your online user accounts, generate reports, and view shipping information?			Yes No

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