GENERAL INFORMATION

 
PLEASE SUBMIT THIS GENERAL INFORMATION ABOUT YOU
Note:  the fields marked star must be filled in
*COMPANY NAME:  
( Enter as printed on Invoice )
 
*MAILING ADDRESS:
SHIPPING ADDRESS:
(No P.O.Boxes please)
D/B/A:
CITY:
STATE:
 *ZIP CODE:
CONTACT NAME:
CLOCK ZONE:
*BUSINESS PHONE:
BUSINESS FAX NUMBER:
Example: (972) 991 9115
  
 *E-MAIL ADDRESS:  Example: person@company.com
ARE YOU LISTED IN THE JBT?     NOYES
If you listed in JBT, please input your JBT ID number:         RATING:
DOING BUSINESS WITH IDC?      NOT YETYES 
If  you select  "yes" button for "DOING BUSINESS WITH IDC" , you must fill the IDC client number correctly. 
To find your client number,look at the upper right corner of any invoice/memo/statement from us.
IDC CLIENT NUMBER: