Request for Customer Account

    Please complete this online form so we can bill you in a manner consistent with your company's needs.

    Name*
    Email*
    What is the legal name of your company?*
    Operating name of your business (if different)
    What is your company's US Tax ID number?*
    What is your company's DUNS number?
    What is your company's full "Bill To" address?*
    To what email address can we send our invoices?*

    Accounts Payable Info

    What is the name of the Accounts Payable representative, should we need to get in touch with them?*
    What is their phone number?*
    What's their email address?*
    Please describe any reference numbers that are mandatory for ALL invoices, (or write NONE) *
    Please describe any supporting documentation that is mandatory to be submitted with ALL invoices, (or write NONE)*
    Do you anticipate that we will be providing services that impact more than one of your company's locations or divisions?*YesNo
    If yes, please describe any related information we should be aware of to promote smooth billing in these circumstances.
    Will you remit payment by ACH Direct Deposit? *YesNo

    If you marked Yes above, please email ops@iglnow.com for ACH information. Please have your A/P team send ACH remittance advice documents via email to accounting@iglnow.com.

    Will you commit to notifying us of any billing discrepancies within 7 days of our invoice? *YesNo
    Will you commit to timely payment of our invoices?* YesNo
    Which of our Account Representatives do you have an existing relationship with here at IGL?*
    Is there anything we didn't cover and should know to provide smooth invoicing to your company?*

    Thank you for your time.

    Your answers to these questions help us provide you with the type of invoicing process that works cohesively with your existing accounting structure. Please don’t hesitate to reach out to us at accounting@iglnow.com for all accounting-related topics, or ops@iglnow.com for all operational-related topics.

    Here is some information your company may need to set us up as a vendor in your system:

    Corporate Mailing Address: PO Box 70, Harrisburg, NC 28075
    Corporate Physical Address: 3125 Horseshoe Lane, Suite E, Charlotte, NC 28208
    Phone Number: (833) 444-5669
    Tax ID #: 82-4096107
    MC #: 70975
    US DOT #: 089182

    Key Contacts:

    • Operations (833) 444-5669
    • Alan Levesque (843) 296-3925
    • Jim Burke (704) 968-3628

    To receive the carrier packet including W9, COI, MC, please please email ops@iglnow.com.