Credit Application

Credit Application

    Company Name

    Physical Address

    Billing Address

    Maximum Load Value

    Do you accept Invoices Via Email? (copies of bills of lading can be attached)

    Do You Have LTL Freight?

    Company Classification

    Year Business Started

    Company Type

    Estimated full truckloads per week

    Accounts Payable

    Accounts Payable Contact

    Will we invoice a third party payment processor?

    Will we invoice other locations?

    Billing Information

    To process payment, may we exclude bills of lading from your invoice?

    Can we contact you to discuss Electronic Data Interchange (EDI) transactions?

    Do you require pallet exchange?

    Do you reimburse for unloading charges?

    Do you have the ability to pay via ACH?

    To process payment, do you require load tenders?

    Do you have any additional Billing requirements (We will reach out to your billing contact)?

    Bank Reference (Required For Maximum Credit)

    Bank Representative

    Credit References (Required for Maximum Credit)

    Contact Name

    Contact Name

    Contact Name

    General Terms And Conditions

    I Accept The Terms And Conditions Contained In this Agreement

    How did you first hear about us?