Customer Intake Form

Accounts Payable Contact

Purchase Orders/Billing Contact

Do You Require a PO Number(Required)
Do You Require a Signed Bill of Lading(BOL)(Required)
Payment Options(Required)

If choosing to pay by ACH, please contact 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

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