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Account Application

Welcome to All Counties Courier, your best solution for Same-Day and Next-Day delivery services
throughout Southern California. To get started, please fill in the form below. The asterisk (*) shows
all the fields that are required to open your account.

Current Customers - To sign up for an ACC login and password, click here or call 1-800-413-0911.

Which ACC delivery service do you plan to use? (Please check all that apply.)

Standard Next-Day Noon or 10:30 a.m. Same-Day On-Demand
Payroll Industry Program Dental Industry Program
On average, how many packages do you plan to ship? Daily Weekly

Please note that volume discounts are available for Next-Day customers. Call 800.413.0911 for more
details.
Customer Information
* Company Name
* Address
* Suite Number
* City
* State
* Zip Code
* Name
* Title
* Phone Number Ext
* Fax Number
* Email Address
Billing Address (If different from above.)
Billing Address
City
State
Zip Code
Billing Contact Name
Accounting Phone Ext
  Accounting Fax
Accounting Email
Promotional Code
  Promotional Code
How did you hear about us?
  Options
Please review All Counties Courier Terms & Conditions and check the box below!
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