Billing Account

Credit Application

Establish a net-30 billing account with Houston's Courier. Complete the form below and our team will review your application within 1–2 business days.

1–2 Business Day Review

Secure Submission

Net-30 Terms Available

Questions? (713) 592-0000

Section 1 — Company Information

Legal Company Name *

DBA (Doing Business As)

Type of Business *

Date Business Established *

Federal Tax ID / EIN *

Number of Employees

Primary Industry *

Company Website

Section 2 — Business Address

Street Address *

Suite / Floor / Unit

City *

State *

Zip Code *

Business Phone *

Business Fax

Section 3 — Accounts Payable Contact

Contact Name *

Title / Position

Direct Phone *

Email Address *

Section 4 — Credit Request

Estimated Monthly Courier Spend *

Credit Limit Requested

Payment Terms Requested

Primary Services Needed *

Additional Notes

Section 5 — Trade References (Please provide 3)

Reference 1

Company Name *

Contact Name

Phone *

Fax

Account Number

Reference 2

Company Name

Contact Name

Phone

Fax

Account Number

Reference 3

Company Name

Contact Name

Phone

Fax

Account Number

Section 6 — Bank Reference

Bank Name *

Branch / Location

Bank Address

Bank Phone *

Account Type

Bank Contact Name

Section 7 — Authorization & Agreement

The undersigned certifies that the information provided on this credit application is true and correct. The applicant hereby authorizes Houston's Courier Inc. to obtain credit information and to make inquiries as necessary in connection with this application. The applicant agrees that all amounts shall be paid in accordance with the agreed payment terms. Any past-due amounts may be subject to a late charge of 1.5% per month. In the event of default, the applicant shall be responsible for all collection costs including reasonable attorney's fees. This agreement shall be governed by the laws of the State of Texas.
Last updated: March 23, 2026

Authorized Signature (Print Full Name) *

Title / Position *

Date *

I have read and agree to the terms stated above. I certify that all information provided is accurate and complete. *

I agree to the Privacy Policy and authorize Houston's Courier Inc. to contact the references listed above. *

* Required fields. Your application will be reviewed within 1–2 business days.

Questions? Call us at (713) 592-0000 or email info@houstonscourier.com