CREDIT APPLICATION AND PURCHASE AGREEMENT

CREDIT APPLICATION AND PURCHASE AGREEMENT
Boost Transport Sales Person
BUSINESS NAME:(DBA)
STREET ADDRESS
CITY
STATE
ZIP
MAILING ADDRESS
CITY
STATE
ZIP
SALES TAX EXEMPTION#
TELEPHONE#
Format: (000) 000-0000.
SOLE PROPRIETORSHIPPARTNERSHIPCORPORATIONLLC
DATE BUSINESS BEGAN

MonthDayYear
Date
GROSS ANNUAL SALES (Previous Year)
THE ACCOUNTS PAYABLE CONTACT FOR THE COMPANY IS:
NAME
PHONE
Format: (000) 000-0000.
AP EMAIL ADDRESS
example@example.com
THE SHIPPING CONTACT FOR THE COMPANY IS:
NAME
PHONE
Format: (000) 000-0000.
EMAIL ADDRESS
example@example.com
PLEASE FURNISH THREE CREDIT REFERENCES: (Non-Trucking / 3PL)

ALL CREDIT REFERENCES ARE SPECIFICALLY AUTHORIZED TO PROVIDE CREDIT AND ACCOUNT INFORMATION TO BOOST TRANSPORT. THE UNDERSIGNED REPRESENTS AND VERIFIES THAT THE INFORMATION CONTAINED IN THIS CREDIT APPLICATION AND PURCHASE AGREEMENT IS TRUE AND CORRECT AND THAT HE/SHE HAS THE AUTHORITY TO EXECUTE THIS CREDIT APPLICATION AND PURCHASE AGREEMENT.
1. BUSINESS NAME
TELEPHONE
Format: (000) 000-0000.
CONTACT
FAX
EMAIL
example@example.com
2.BUSINESS NAME
CONTACT
TELEPHONE
Format: (000) 000-0000.
FAX
Format: (000) 000-0000.
EMAIL
example@example.com
3. BUSINESS NAME
CONTACT
TELEPHONE
example@example.com
FAX
Format: (000) 000-0000.
EMAIL
example@example.com
TERMS AND CONDITIONS
CUSTOMER HEREBY AGREES THAT ALL PURCHASES MADE ARE SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:

CUSTOMER AGREES TO THE TERMS AND CONDITIONS SET FORTH BY BOOST TRANSPORT, LLC. THE TERMS AND CONDITIONS SET FORTH ARE INCORPORATED HEREIN AS IF SET FORTH WORD FOR WORD.

ALL AMOUNTS DUE FOR SERVICES PURCHASED FROM BOOST TRANSPORT, LLC. ARE PAYABLE AT P.O. BOX 852 OAKWOOD, GA 30566, NO LATER THAN THE DUE DATE SPECIFIED ON YOUR INVOICE. THE SERVICES PURCHASED FROM BOOST TRANSPORT, LLC. ARE NOT PAYABLE IN INSTALLMENTS BUT ARE PAYABLE IN FULL AS STATED HEREIN.

CUSTOMER SHALL PAY, IN THE EVENT ITS ACCOUNT BECOMES DELINQUENT AND IS TURNED OVER TO AN ATTORNEY FOR COLLECTION, REASONABLE ATTORNEY’S FEES PLUS ALL COURT COSTS AND ATTENDANT COLLECTION COSTS. ALL LATE PAYMENTS ARE SUBJECT TO FINANCE CHARGES UP TO THE MAXIMUM ALLOWED BY LAW.

THIS PURCHASE AGREEMENT IS PERFORMABLE IN GAINESVILLE, HALL COUNTY, GEORGIA. THE AGREEMENT SHALL BE GOVERNED BY THE LAWS OF THE STATE OF GEORGIA. CUSTOMER CONSENTS AND AGREES THAT BOOST TRANSPORT, LLC. MAY MAINTAIN ANY SUIT TO ENFORCE THIS PURCHASE AGREEMENT OR TO COLLECT ANY DEBT OWED TO BOOST TRANSPORT, LLC. IN ANY COURT IN HALL COUNTY, GEORGIA WHICH HAS SUBJECT MATTER JURISDICTION, AND CUSTOMER EXPRESSLY CONSENTS AND SUBMITS TO THE JURISDICTION, AND WAIVES ANY OBJECTION TO VENUE OR PERSONAL JURISDICTION, OF ANY SUCH COURT.

THE UNDERSIGNED ACKNOWLEDGES AND AGREES THAT THE GOODS AND SERVICES ARE SOLD TO CUSTOMER IN RELIANCE ON THE INFORMATION PROVIDED HEREIN. THE UNDERSIGNED FURTHER ACKNOWLEDGES AND CONFIRMS THAT HE/SHE HAS THE EXPRESS AND ACTUAL AUTHORITY TO EXECUTE THIS CREDIT APPLICATION AND PURCHASE AGREEMENT ON BEHALF OF CUSTOMER.
DATE

MonthDayYear
Date
NAME (Print)
TITLE
Upload Credit Reference Sheet Here

Cancelof
Signature

Powered by Jotform SignClear
Boost Transport, LLC P.O. Box 852 Gainesville, GA 30566
Should be Empty:

CREDIT APPLICATION AND PURCHASE AGREEMENT

THE ACCOUNTS PAYABLE CONTACT FOR THE COMPANY IS:

THE SHIPPING CONTACT FOR THE COMPANY IS:

TERMS AND CONDITIONS