800-822-1084
info@mgcinc.com
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Company Name Parent Corp:
Email Address:
Address:
City:
State:
Zip:
Phone:
Fax:
Type of Service Overnight
Payroll Deliveries
Routed Scheduled Service
Mailing Address for invoices, if different than above:
Address:
City:
State:
Zip:
Owner(s) or authorized officers of the Company, and Title:
Type of business: Individual
Partnership
Corporation
References:
Bank:
Account:
Phone:
Trade:
Contact:
Phone:
All invoices are due ten (10) days following receipt of invoice. In the event of default, if this account is turned over to an attorney for collection, the undersigned agrees to pay all attorney fees and/or collection fees, whether or not suit is filed.

Applicant's signature attests financial responsibility, ability, and willingness to pay our invoices in accordance with the above terms.
Company Name:
Signed by(name,title,date):
Comments/Special Requests:
770-991-1084 / 800-822-1084 1564 NORMAN DRIVE, COLLEGE PARK, GA 30080