Express-Logistics

CREDIT APPLICATION

Business Name*

Phone*

fax

Address*

City

State

Zip

Federal ID #

D&B

MCC#

Tax Exempt #

State

Bank Name*

Contact Person*

Phone fax

Account

Consent to release information

Business Name*

Phone*

Fax

Address

City

State

Zip

Business Name*

Phone*

Fax

Address City

State

Zip

Business Name*

Phone*

Fax

Address City

State

Zip

Date company started

Type Of Business

Number of employees

Est. Annual sales

Legal Nature

Contacts

Purchasing

Receiving

Accounts payable

CFO/Controller

Express Logistics Combines Projected Transportation Volume Amongst Many Companies

Request a Quote

Q. How many packages do you ship domestically per month?

Q. How many packages do you ship internationally per month?

Q. Who is your primary carrier?

Q. How did you hear about Express Logistics ?

Briefly describe your shipping needs

Consent to release information

Contacts

Express Logistics Combines Projected Transportation Volume Amongst Many Companies

Request a Quote

Personal / Company Details

Question Answer

Q. How many packages do you ship domestically per month?

Q. How many packages do you ship internationally per month?

Q. Who is your primary carrier?

Q. How did you hear about Express Logistics ?

Briefly describe your shipping needs

Company Details

Bank References

Consent to release information

Trade References ( list at least three )

Company Information

Contacts