OTD Overnight: 954-567-3686   -   OTD Courier: 954-564-5447

3620 N. E. 5th Avenue  |  Oakland Park, FL 33334

Page 1 of 4

Full Name (*)
Please enter your Name.
Company Name
Invalid Input
Street Address (*)
Please enter your Street Address.
City (*)
Invalid Input
State / Province (*)
Invalid Input
Zip / Postal Code (*)
Invalid Input
Country (*)
Invalid Input
Phone (*)
Invalid Input
Fax
Invalid Input
Email (*)
Invalid Input
URL
Invalid Input
Years Incorporated (*)
Invalid Input
A/P Contact (*)
Invalid Input
Business Type (*)
Invalid Input
   

Owner Information

Owner #1 Name (*)
Invalid Input
Phone (*)
Invalid Input
Address (*)
Invalid Input
% Ownership (*)
Invalid Input
Owner #2 Name (if applicable)
Invalid Input
Phone
Invalid Input
Address
Invalid Input
% Ownership
Invalid Input
   

Trade Reference

Name (*)
Invalid Input
Organization (*)
Invalid Input
Street Address (*)
Invalid Input
City (*)
Invalid Input
State / Province (*)
Invalid Input
Zip / Postal Code (*)
Invalid Input
Telephone (*)
Invalid Input
   

Bank Information & Terms

Bank Name / Branch (*)
Invalid Input
Telephone (*)
Invalid Input

In consideration for credit being extended, I or we acknowledge and agree to the following:

  1. Payment is guaranteed with 14 days.

  2. Any charges outstanding after 45 days from date of invoice are subject to collection, and all collection expenses, attorney fees and court costs will be borne by the shipper; plus 1.5% interest monthly not to exceed 18% annually.

  3. All claims, requests for adjustments, or notification of errors must be made in writing within 14 days of said shipment, or charges are considered correct and accepted.

  4. This agreement shall apply to all current and future shipments unless revocation is received by registered mail.

  5. Credit privileges may be withdrawn at any time without invalidating the terms of the agreement, venue is Miami-Dade County, Broward Country or Palm Beach County at sole discretion of OTD, Florida law governs.

By submitting this electronic form I attest to the accuracy of this information. I also attest that I am the person represented by this information and I electronically "sign" this document by checking the "I agree" box below and pressing the "Submit Application" button below. 

Please agree to the terms (*)
Invalid Input

We are members of:



Overnight / Fulfillment Center

Local: 954-567-3686
Fax: 866-680-2333
Email us

3620 NE 5th Ave
Oakland Park, FL 33334

          

Standard Courier / Same Day

above par courier service logo lgLocal: 954-564-5447
Fax: 866-680-2333
Email us

3620 NE 5th Ave
Oakland Park, FL 33334