Create an Account

To setup your account please complete the following form. A Delivery Express Logistics representative will contact you within 24 hours to finalize your account. If you would like to start service immediately, please fill out the form below and contact Delivery Express by phone at 888-895-1005. We appreciate your business!

All fields marked with an asterisk (*) are required

Company Info
Company Name*
Contact Name*
Title
Contact Phone #*
Contact Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address (if different from above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Telephone #*
Main Fax #
Accounts Payable Contact Name*
Accounts Payable Contact Email*
General Information
How did you hear about Delivery Express?*
Nature of Business*
Type of Business
Years in Business*
D&B #
Bank Name*
Bank Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Bank Telephone*
Credit Reference #1*
Telephone #*
Credit Reference #2*
Telephone #*
Create an Online Ordering Account
Email*
Terms & Conditions
1. I am an agent of the above named company and authorized to make this agreement on its behalf.
2. The information stated is accurate and Delivery Express is authorized to verify its accuracy.
3. Unless other arrangements are made in writing, all invoices will be paid within 15 days.
4. To pay a finance charge of 1.5% on past due balances.
5. To pay all costs associated with the collection of my account in the event it becomes delinquent including attorney's fees and other fees to which Delivery Express might be entitled.
6. Unless otherwise stated, shipments will be understood to have a value of $50 or less.
By checking this box you are agreeing to our terms listed above:*
- By checking this box you are agreeing to our terms listed above:

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