Credit Application

General Information

Date: / /
Company's Legal Name:
Company's Trade Name:

Billing Address

Address

City

State/Province

Zip/Postal Code

Local Address (if different from Billing)

Address

City

State/Province

Zip/Postal Code

Main Telephone Number: ( ) -
Main Fax Number: ( ) -
Web Site:

Accounts Payable Information
Accounts Payable Contact(s):
Email Address:
Telephone Number: ( ) -
Fax Number: ( ) -
Web Site:
Business Organization Corporation Corporation
Partnership
Proprietorship
If Subsidiary, Parent Name:
Principle(s) of Company:
Year Company Established:
Nature of Business:

If business has relocated or changed names in the past 5 years, provide information:

Approximate credit amount requested:
Under $1000
$1001 - 5000
Over $5000

Name and Address of Bank:

Account overseer at Bank:
Account Number:
I.C.C.:
Surety Bond Number:

Three Transport Related References:

ALL APPLICABLE AREAS ON THIS APPLICATION MUST BE COMPLETED. I/WE UNDERSTAND/ACCEPT THAT MULTI GROUP LOGISTICS' RECEIVABLE TERMS ARE 30 DAYS FROM DATE OF BILLING ON INVOICE. ALL ORIGINAL TRANSPORT DOCUMENTS INCLUDING BILLS OF LADING WILL BE RETAINED BY MULTI GROUP LOGISTICS. DELAYS IN PAYMENT WILL RESULT IN SUSPENDED CREDIT PRIVILEGES. NO ALTERATIONS TO THIS AGREEMENT WILL BE ACCEPTED BY MULTI GROUP LOGISTICS. MULTI GROUP LOGISTICS RESERVES THE RIGHT TO A 2% MONTHLY (24% PER ANNUM) INTEREST CHARGE ON ALL OVERDUE ACCOUNTS
I/WE HEREBY AGREE THAT MULTI GROUP LOGISTICS OR ITS AGENTS MAY CONDUCT/OR CAUSE TO CONDUCT AN INVESTIGATION IN REGARDS TO THIS CREDIT APPLICATION.

Authorized Signature

Date: / /

Signed By:

Position: