Become a Customer 2016-10-29T15:32:26+00:00

Please fill the form on the right and one of our specialists will get back to you. Or click on the link below to download a PDF version.

icon_pdf_largeCitySprint Customer Info Form (pdf)

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Company information

Company / Legal Name*

Billing Address

Street-address:

Address line 2:

City:
Postal / Zip Code:
State / Province / Region:
Country:

Your Phone

Your Email

Business Classification *

Sales Tax Exempt*

Courier contact

Name:

Phone:

Accounts Payable (Payment) Contact

Name:

Phone:

Account Information

Names of persons authorized to use the account *

Credit Limit Desired

dollars
cents

Common Caller Names (List Three)

Bank References
List two bank references, including names, addresses and phone numbers.

Trade References
List three local trade references, including names, addresses and phone numbers.

Special Instructions
This will automatically appear on your order, which will be communicated to the dispatcher and driver.

How Did You Hear About City Sprint?

Additional Information or Questions?

Are you interested in ordering your delivery service online?

Terms / Agreements
1. The applicant (legal entity named above and its guarantors) agrees to pay all charges on this account within 30 days of invoice date. 2. The applicant agrees to pay a service charge of 1.5% a month on all bills which remain unpaid for a period of 30 days or more. 3. The applicant agrees to pay any and all costs of collection, including reasonable attorney fees. 4. The applicant warrants all information on this application to be true and authorizes LMKBK Logistics LLC, d.b.a. CitySprint, its agents, and assigns to investigate the above references and any other data pertaining to the applicant's credit and financial responsibility. 5. Applicant understands CitySprint limits of liability for all services are no more than $100 per shipment.

By checking this box and submitting this application, you are agreeing to the terms shown above. *
I accept all of the above terms.