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CREDIT APPLICATION AND AGREEMENT
PLEASE FILL THIS FORM OUT COMPLETELY
| FULL NAME OF COMPANY |
______________________________________ |
| MONTHLY CREDIT REQUESTED |
______________________________________ |
| BILLING ADDRESS |
______________________________________ |
| PHYSICAL ADDRESS |
______________________________________ |
| TELEPHONE NUMBER |
_______________ |
FAX NUMBER |
________________ |
| PRESIDENT |
_________________________________ |
| OWNER(S) |
_________________________________ |
| ACCOUNTS PAYABLE CONTACT |
_________________________________ |
| CONTROLLER |
_________________________________ |
|
TYPE OF BUSINESS:
(CircleOne)
|
CORPORATION
|
PARTNERSHIP
|
SOLE PROPRIETOR
|
| PARENT COMPANY |
__________________________ |
| BRANCH LOCATIONS |
__________________________ |
| YEARS IN BUSINESS |
_________ |
|
| NUMBER OF EMPLOYEES |
_________ |
|
| D & B ACCOUNT NUMBER |
__________________________ |
INDUSTRY TYPE
(Circle One) |
DOMESTIC FORWARDER |
INTL FOWARDER |
|
DOMESTIC AIRLINE |
INTL AIRLINE |
|
INTEGRATORS |
OCEAN CARRIER |
|
OTHER |
|
| BANK NAME |
__________________________ |
| ADDRESS |
__________________________ |
| PHONE NUMBER |
__________________________ |
| CHECKING ACCOUNT NUMBER |
__________________________ |
| LOAN ACCOUNT NUMBER |
__________________________ |
| CONTACT PERSON |
__________________________ |
| PHONE NUMBER |
__________________________ |
PLEASE LIST 4 REFERENCES, 2 OF WHICH MUST BE CARRIERS: | |
| COMPANY |
________________________ |
| ADDRESS |
________________________ |
| CONTACT |
________________________ |
| PHONE NUMBER |
________________________ |
|
| COMPANY |
________________________ |
| ADDRESS |
________________________ |
| CONTACT |
________________________ |
| PHONE NUMBER |
________________________ |
|
|
| COMPANY |
________________________ |
| ADDRESS |
________________________ |
| CONTACT |
________________________ |
| PHONE NUMBER |
________________________ |
|
| COMPANY |
________________________ |
| ADDRESS |
________________________ |
| CONTACT |
________________________ |
| PHONE NUMBER |
________________________ |
|
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THE APPLICANT(S) EXECUTING THIS APPLICATION AND AGREEMENT: (“CUSTOMER”)
HEREBY AGREES THAT PAYMENT FOR ALL SERVICES IS SUBJECT TO THE FOLLOWING
TERMS AND CONDITIONS:
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- CUSTOMER AGREES THAT ALL AMOUNTS DUE FOR SERVICES PROVIDED BY MONTGOMERY
AIR FREIGHT, INC. AND /OR ANY OF ITS SUBSIDIARIES, INCLUDING BHM EXPRESS
AND /OR HARBIN FREIGHT LINES (COLLECTIVELY THE “COMPANY”) ARE PAYABLE
AT 4820 WESTPORT BLVD, MONTGOMERY AL 36108.
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- CUSTOMER AGREES THAT ALL AMOUNTS DUE ARE NOT PAYABLE IN INSTALLMENTS,
BUT ARE PAYABLE NET 30 DAYS OF DATE ON INVOICE. COMPANY RESERVES THE
RIGHT TO DEMAND PAYMENT OF ALL OUTSTANDING AND PAST DUE FREIGHT CHARGES
AS A PRE-CONDITION FOR RELEASING ANY SHIPMENTS AT DESTINATION. THIS
RIGHT INCLUDES THE RIGHT TO DEMAND PAYMENT UPON DELIVERY OF ANY SHIPMENT
(S) AT ANY TIME. IF ANY AMOUNT DUE IS NOT PAID WITHIN SAID PERIOD,
A DELINQUENCY CHARGE OF 1.5% PER MONTH OF THE DELINQUENT BALANCE SHALL
BE ADDED TO THE SUM DUE.
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- IN THE EVENT THE ACCOUNT BECOMES DELINQUENT AND IS TURNED OVER FOR
COLLECTIONS, CUSTOMER AGREES THAT ALL MATTERS SHALL BE LITIGATED IN
MONTGOMERY COUNTY, ALABAMA AND CUSTOMER FURTHER AGREES TO PAY ALL
REASONABLE ATTORNEYS AND COLLECTORS FEES, PLUS ANY OTHER COLLECTION/COURT
COSTS.
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- CUSTOMER AGREES TO NOTIFY THE COMPANY BY CERTIFIED MAIL OF ANY CHANGES
IN OWNERSHIP OF CUSTOMER AND FURTHER AGREES TO BE LIABLE FOR ALL LOSSES
INCURRED AS A RESULT OF FAILURE TO COMPLY WITH SAID NOTIFICATIONS.
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- CUSTOMER AUTHORIZES THE COMPANY AND /OR ITS CREDIT AGENCY TO INVESTIGATE
ALL CREDIT HISTORY, BANK REFERENCES, AND ANY OTHER INFORMATION REQUIRED
TO PROCESS THIS APPLICATION AND AS IT DEEMS NECESSARY IN THE FUTURE.
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| OFFICER, OWNER, OR PARTNER |
________________________________________________ |
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| TITLE ___________________________ |
DATE ____________________________ |
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