Edge Logistics & Transport, Inc. Credit Application

To access our credit application, please click on the link below.  The PDF form may be completed online and emailed by selecting the "email form” button.  You also have the option to print or save the form for your records.

Fields marked * are required
Business Contact Information
Credit Level Requested
Company Name
Phone
Fax
Email
Company Address (Street, City, State & Zip)
Billing Address (if different from address above)
Accounts Payable Contact
Email
Phone
Fax
Legal Formation of Company	Corporation Partnership Proprietorship
How long at current address?
Type of Business
Bank Information
Telephone
Fax
Email
Bank Name
Bank Address (Street, City, State & Zip)
Type of Account	Savings Checking Other
Account Number
Principal(s) Of Company
Principal #1 - Name
Principal #1 - Address
Principal #1 - Position
Principal #2 - Name
Principal #2 - Address
Principal #2 - Position
Principal #3 - Name
Principal #3 - Address
Principal #3 - Position
Credit References
Reference #1 - Name
Reference #1 - Address
Reference #1 - Phone
Reference #1 - Fax
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Reference #2 - Name
Reference #2 - Address
Reference #2 - Phone
Reference #2 - Fax
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Reference #3 - Name
Reference #3 - Address
Reference #3 - Phone
Reference #3 - Fax
Agreement
NOTICE: The following credit agreement is provided for your information. Please read the agreement before signing the application. Credit agreement: Upon opening this 30 day account, I agree:
To pay each invoice within its terms of 30 days from date of shipment. To pay a 1.5% interest per month on any invoices that become thirty-one days or older. To pay all attorneys’ fees and all costs in the event that collection efforts become necessary. To authorize release of credit and banking information for approval of this request.
By completing this application, Edge Logistics & Transport, Inc. is granted permission to contact bank references and other vendors to seek financial and credit information for your business. Edge Logistics & Transport, Inc. will hold all information received in strict confidence and will not discuss this information with any person or business other than our management and credit personnel.
Payment must be made within terms. Non-payment and/or slow payment of invoices may be cause for suspension of credit, termination of credit and/or other penalties
How did you hear about us?
Signature
Date
Title
Access Code
Please Enter the Access Code *