CREATE ACCOUNT — Burns Logistics

BURNS LOGISTICS NEW CLIENT FORM

Thank you for choosing Burns Logistics as your carrier provider!
To ensure a smooth registration, please complete all required information in the provided fields.

We’re looking forward to working with you!

Name

First Name

Last Name

Contractor (if applicable)

Phone

(###)

###

####

Billing Email

All invoices will be sent to the provided email address

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

ALL new clients must provide a credit card to put on file. These are stored securely and are only used for emergencies. You will ALWAYS be notified if your stored card is going to be used. We only provide services to accounts with verified cards on file. You will be notified if your CC is not validated upon creating your account.

Credit Card Number

Credit Card Expiration Date

Credit Card Security Code

Credit Card Zip Code

BURNS LOGISTICS NEW CLIENT FORM

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BURNS DIRT