Customer Form

Getting your products into the hands that need them most as soon as possible is everything. PFServices gets it. Finding you the right carrier who can professionally and reliably deliver on time at the right price is what we do.

Please take a few moments to provide us the necessary information to successfully deliver for you.

If you have any questions please call Matt Myers (574)971-2026 or (877) 737-5623

Step 1 of 4 - Personal

Legal Business Name(Required)

D/B/A

Bill To

City

State

Zip

Ship To

Zip

State

City

Main Phone(Required)

Fax Phone

Date Company Established(Required)

P.O.D. Required?(Required)

Federal Tax ID #

A/P Contact Person(Required)

Type of Organization(Required)

Name	Phone	Address	Actions

There are no References.

Name	Phone	Address	Actions

There are no References.

Billing Preference Information

Customer Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Accounts Payable Contact Person

Name(Required)

Phone(Required)

Do you prefer to receive invoicing via(Required)

Invoicing Email

Invoicing Fax Phone

Person Completing This Document

Name(Required)

Position/Title(Required)

Date(Required)