Switchx Intermodal

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Email Address*

Business Name*

Address*

Address Line 2*

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Province*

Telephone Number (including area code)*

Fax Number (including area code)*

How Did You Hear About Select Delivery Systems?*

BILLING ADDRESS (IF DIFFERENT THAN ABOVE)

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Address*

Address Line 2*

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Province*

Telephone Number (including area code)*

Fax Number (including area code)*

COMPANY OFFICER OR ACCOUNTS PAYABLE CONTACT

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Last Name*

Title*

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TERMS OF CREDIT

All accounts are due when rendered. Interest @ 2% monthly will be charged on all invoices which are more than 30 days in arrears. Payments are to be made to head office.

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BILLING ADDRESS (IF DIFFERENT THAN ABOVE)

COMPANY OFFICER OR ACCOUNTS PAYABLE CONTACT

TERMS OF CREDIT

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