Credit Application for Transportation/Logistics Account

Business Contact Info

Credit Application for Transportation/Logistics Account
Company Name *
Phone Number *

Area Code Phone Number
Fax Number

Area Code Phone Number
E-mail *
Company Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Company Type *

Sole Proprietorship Partnership Corporation Other

Business and Credit Info
Accounts Payable Contact *

First Name Last Name
Accounts Payable Phone *

Area Code Phone Number
Accounts Payable Fax

Area Code Phone Number
E-mail *
Company to Bill Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Bank Name *
Bank Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Bank Phone Number *

Area Code Phone Number

Business References
Reference 1: Company Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Fax Number

Area Code Phone Number
E-mail
Type of Account
Reference 2: Company Name
Address 2

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number 2

Area Code Phone Number
Fax Number 2

Area Code Phone Number
Type of Account 2
Phone Number 3

Area Code Phone Number
Fax Number 3

Area Code Phone Number
Type of Account 3

Agreement

(By checking these boxes you are agreeing to our terms - should you have any questions please contact us)
Agreement and Terms *

All Invoices are due within 7 days. All Claims and or Credits must be made within 24hrs of delivery, and are subject to an approval process by Big Venture Sales Ltd. Big Venture Sales Ltd. will not be held liable for any shortages, damages and/or spoilage.
Agreement and Terms *

By submitting this credit application, you authorize us to make inquires into the banking and buisness references that you provided.
Enter the word as it's shown *
Signature

Clear
Should be Empty: