| MAIN INFORMATION |
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| COMPANY NAME |
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COMPANY WEBSITE |
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| PRODUCTS OR SERVICES OFFERED |
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COMPANY PHONE |
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| SALES REP |
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| CONTACT INFORMATION |
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| FIRSTNAME |
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LASTNAME |
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JOB TITLE |
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EMAIL |
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PHONE NUMBER |
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| ADDRESS INFORMATION |
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| ADDRESS 1 |
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CITY |
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STATE |
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| ADDRESS 2 |
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POSTAL CODE |
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COUNTRY |
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| BUSINESS REFERENCES |
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| BUSINESS REFERENCE 1 |
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BUSINESS REFERENCE 2 |
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| BUSINESS CONTACT 1 |
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BUSINESS CONTACT 2 |
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| BUSINESS EMAIL 1 |
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BUSINESS EMAIL 2 |
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| BUSINESS PHONE 1 |
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BUSINESS PHONE 2 |
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| PAYMENT INFORMATION |
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| BANKING INFORMATION |
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| PRINT NAME |
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| CARD TYPE |
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CARD NUMBER |
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| EXPIRATION DATE |
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SECURITY CODE |
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It's understood that AM Home Delivery and Trucking Inc("AM") is only insuring my merchandise for theft or loss, but not for freight damage of any kind. It is understood that AM Home Delivery and Trucking Inc reserves the right to reject any shipment that a bill of lading has been produced, and the shipper forfeits their right to summon recourse of any sort. Pricing will be agreed upon through e-mail and it is understood that rates may change upon notice. In case of damage, AM will return the damaged shipment to its origin, and if provided by shipper at no expense to AM, will ship a replacement order to the customer, and AM will only invoice for the original shipment. No claim will be paid out for untimely delivery of merchandise. This statement does not represent all terms of shipping, other agreements may be made through email or documented in writing. For further Terms and conditions, please see provided document: "BOL Terms and Conditions." Freight services subject to the following Billing Terms & Conditions: All merchandise is billed once received by AM Home Delivery & Trucking. The entire invoice is due upon receipt and must be paid within 7 days without offsets, deductions, or payment terms. Credit card on file will be billed for full invoice amount if not settled within 11 days. Accounts with invoices aging past 11 days will be frozen. Unpaid balances more than 30 days will be subject to a 5% late fee. Returned checks will be subject to a $25 surcharge. For any Billing Inquiries please email ar@amtrucking.com. Credits/Deductions can only be approved in writing by ar@amtrucking.com.
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