CUSTOMER REQUEST FORM

Customer Type

Company Information






Billing Information


Banking Information


Credit Reference 1


Credit Reference 2


Credit Reference 3


We (I) agree to pay charges according to current rate. We (I) agree that all unpaid amounts over 30 days are subject to 2.5% finance charge. We (I) authorize the bank, credit, and bond references to release information to STG Logistics Inc. We (I) agree to hold these persons harmless from any claim resulting there from.