Name of Company
Name of Representative
Position
Address
Phone Number
Email
Frequency of delivery
—Please choose an option—Dayweekmonth
Type of Goods —Please choose an option—PerishableNonperishables
Under Perishable —Please choose an option—FoodGroceries
Under Non Perishable —Please choose an option—DocumentsParcelOthers
Others, please specify: (optional)
Duration Requirement —Please choose an option—immediateday to day1-2 days2-3 days
Preferred Payment —Please choose an option—per invoiceweeklymonthlyothers
Others, please specify:(optional)
