Becoming a Known Shipper

Please take a moment to complete this agreement and mail it to us. Becoming a Known Shipper is Federally Mandated for Homeland Security purposes. Thank You.

PREFERRED CUSTOMER RECORD AND SHIPPING AGREEMENT

Transportation Security Administration (TSA) security procedures require that you complete this Shipping Agreement and Security Endorsement, which will qualify you as a Preferred Shipper. Becoming a Preferred Shipper will Streamline the pick-up and delivery of your package and speed you through the ordering and billing process.

Completing this document is easy. Simply complete the information below, sign in the space provided, fax the completed agreement to 800-795-9USA, and mail the original immediately to:

USA Couriers, Inc
Attention: TSA Security Procedures
15 Court Square, Suite 400
Boston, MA 02108

Please note that we cannot qualify you as Preferred (Known) Shipper until we have have your original signed Agreement and credit application on file and have completed your set up process. In the meanwhile, you may still be able to arrange shipments with USA Couriers, but applicable TSA and airline-specific regulations may restrict the itineraries available to you and additional information and identification will be required at the time of package pick up.

REQUIRED INFORMATION	SHIPPER INFORMATION
Company Name
Contact
Street Address
City
State
Zip
Telephone
Fax
E-mail Address
D&B (if avail)
SIC Code#
Tax ID#
SIGNATURE
	Please PRINT this form and follow the above instructions.