Customer Intake Form

Business Name(Required)

Buisness Address(Required)

Business Phone(Required)

Contact Name(Required)

Contact Email(Required)

Accounts Payable Contact

Accounts Payable Contact Name:(Required)

Phone(Required)

Email(Required)

Purchase Orders/Billing Contact

Purchase Orders/Billing Contact Name(Required)

Phone(Required)

Email(Required)

Do You Require a PO Number(Required)

Yes

Do You Require a Signed Bill of Lading(BOL)(Required)

Yes

Payment Options(Required)

ACH

Company Check

Credit Card/Virtual Terminal

Please provide your email address for invoices(Required)

If choosing to pay by ACH, please contact ap@tefcotransportation.com to set up your ACH account information.

Our remittance address: 6831 W Beaver Street, Jacksonville, FL 32254. When remitting a check by mail, include the invoice number you are paying. When remitting an ACH or Credit Card/Virtual Terminal, include the invoice number and send your payments to billing@tefcotransportation.com.

If you have additional questions regarding the Customer Intake form, you may call 904-900-7545.

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