Cargo-Link New Customer Profile and Credit Application

Please complete form in its entirety. If applicant has pre-packaged trade & bank references please complete items 1 thru 19 and 24-25. Use upload buttons to attach your documents.

1. Company Legal Name*

2. Additional Company Names, Affiliates, Alias' or d/b/a

3. State or Province Incorporated*

4. Your Location Description*

5. Authorized Representative Requesting Account*

First NameLast Name

6. Title*

7. Your Email*

8. Your Phone #*

9. Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

10. Billing Address if Different from Above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

11. Organization Type*

CorporationLLCPartnershipSole Proprietor

12. FF# or MC# (Enter N/A if none)*

https://tinyurl.com/v6avwcyc

13. CEO or Owner's Name*

First NameLast Name

14. Operations Contact*

15. Operations Contact Email*

16. TSA/Security/Compliance Contact

First NameLast Name

17. TSA/Security/Compliance Contact Email

18. CFO or Accounts Payable Contact*

First NameLast Name

19. CFO or Accts Payable Contact Email*

20. Email Address to Receive Invoices & Supporting Documents*

21. List Three Transportation Trade References, Address, and Phone#*

22. Banking Information - Bank Name, Contact, Phone#

Remit/Payment Address:

Cargo-Link

PO Box 91766

Raleigh, NC 27675

ar@cargolinkinc.com

Ph# (919) 462-0604

Fax# (919) 679-9086

ACH Payment Preferred

Request ACH banking info

Name of authorized person submitting this form*

Use Mouse for Signature*

By digitally signing this form I accept Cargo-Link's "Terms and Conditions" as an authorized representative and that I am authorized to request credit on behalf of organization.

Signature (if printing form): ___________________________________________

Cargo-Link, LLC. is not responsible for emails or email forms not delivered due to security settings, SPAM filters, service provider routing errors, etc. If you do not receive a prompt reply from us, please call us immediately at: (919) 462-0604, or write to us via U.S. mail. Please do not use the form or email address to solicit products or services.