If you are already a Denver Boulder Couriers customer with a current account, but do not yet have a username/password to log in - Click Here Items with * are required. Business or Individual? * Business Individual Company Name: * Federal ID # or SS#: * Type of Business: * First Name: * Last Name: * Phone: * E-mail Address: * Online Username (Min 5 chars): * Password: * Re-type Password: * Physical Address: Street: * City: * State: * AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: * Common Caller's Names & Phone #s 1. * 2. 3. Billing Information Street: * City: * State: * AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: * First Name: * Last Name: * Phone: * Email: * Fax: Denver Boulder Couriers bills our customers on the last day of each month. All invoices are sent via email to the billing email entered above, If you require paper statements, please check the box below. We charge a $4/month fee for paper statements. Invoice Type monthly invoice via email - $0 monthly paper invoice - $4 both paper and email invoices - $4 Describe the service you need. Sporadic call-in service Rush work - usually completed in less than 1 hour or 90 minutes Same day - no rush Standard 3-4 hour service Do you require a Reference on your deliveries? * No Yes Examples of Job Reference Labels are: PO #, job #, client code Job Reference Label 1: * Job Reference Label 2: Job Reference Label 3: Job Reference Label 4: How did you hear about us?: * DBC Contacted Us Referral/One of our vendors uses DBC: Google search: term used: Social Media: Other - please describe: Additional Notes Payment Terms: Net 15 days unless otherwise negotiated in writing. Unless a greater value has been placed on a shipment at the time that a request for delivery is made to Denver Boulder Couriers, it is agreed that, in consideration of the rate being charged, the liability of Denver Boulder Couriers for damages to, or loss or delay of such shipment is limited to $100. If the shipper declares to Denver Boulder Couriers that the value of the shipment exceeds $100, Denver Boulder Couriers will furnish a rate which will provide insurance against the damage to, or loss or delay of the shipment at the higher value so declared by the shipper. I have read and understand that failure to pay in accordance with the payment terms will result in a loss of service, and that I will be responsible for all Collection Costs and Expenses.