My Account

Credit Application

Please fill out the credit application below and submit online by clicking submit, or print this PDF version of the application, fill out and fax to 281-497-8760.

Company Name
Address
Street AddressCityStateZip Code
Phone
Fax
Email
Billing Address (if different)
Street AddressAddress Line 2CityStateZip Code
Business Information
- Individual
- Partnership
- Corporation
How Long in Business
Type of Services or Product
Person Authorizing Account
Title
Contact Person for Accounts Payable
Phone Number for Accounts Payable
Reference Information (1)
Please include the following: Trade Reference Name Phone Number Account Number
Reference Infomation (2)
Please include the following: Trade Reference Name Phone Number Account Number
Reference Information (3)
Please include the following: Trade Reference Name Phone Number Account Number
Are you using Hour Messenger as your:
- Primary Carrier
- Secondary / Backup Carrier
How did you hear about Hour Messenger?
Terms and Conditions
Invoices are sent approximately every two (2) weeks, are payable upon receipt and become delinquent fifteen (15) days after date. Delinquent accounts will be subject to interest at the rate of 18% per annum. If your procedures cannot adapt to this schedule, please fill in the blank below with information regarding your payment schedule. If we agree to abide by your schedule, we will consider your account overdue seven (7) days after the date(s) specified below.*
- By submitting this form, you agree to the above terms and responsibility of payment of invoices when due.
Name*
Title
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