BHRI World Wide Logistics Interface

4625 Industrial Road
Fort Wayne, IN 46825
Email: credit@buchananhauling.com
OFC: 260.471.1877, Extension 226
Fax: 260.399.4494


Billing & Business Information
Business Name *
Street Address *
City, State, Zip *	,
Federal Id Number *	-
Phone *	- - ext:
Fax	- -
A/P Contact Person
Email Address
Mailing Address (If different from business address)
Street Address
City, State, Zip	,
Requester's Information
Name *
Agent Code
Amount Requested *
Phone # *	- - ext:
Fax #	- -
Email
Additional Comments

Buchanan Hauling & Rigging Inc