Providing Comprehensive Logistic Services
CREDIT APPLICATION AND AGREEMENT
PLEASE FILL THIS FORM OUT COMPLETELY

FULL NAME OF COMPANY ______________________________________
MONTHLY CREDIT REQUESTED ______________________________________
BILLING ADDRESS ______________________________________
PHYSICAL ADDRESS ______________________________________

TELEPHONE NUMBER

_______________

FAX NUMBER

________________
PRESIDENT _________________________________
OWNER(S) _________________________________
ACCOUNTS PAYABLE CONTACT _________________________________
CONTROLLER _________________________________

  TYPE OF BUSINESS:
(CircleOne)

 

CORPORATION

 

  

PARTNERSHIP

 

  

SOLE PROPRIETOR

 
PARENT COMPANY __________________________
BRANCH LOCATIONS __________________________

YEARS IN BUSINESS

_________

NUMBER OF EMPLOYEES

_________

D & B ACCOUNT NUMBER

 __________________________


INDUSTRY TYPE
(Circle One)		 DOMESTIC FORWARDER INTL FOWARDER
  DOMESTIC AIRLINE INTL AIRLINE
  INTEGRATORS OCEAN CARRIER
  OTHER  


BANK NAME __________________________
ADDRESS __________________________
PHONE NUMBER __________________________
CHECKING ACCOUNT NUMBER __________________________
LOAN ACCOUNT NUMBER __________________________
CONTACT PERSON __________________________
PHONE NUMBER __________________________


PLEASE LIST 4 REFERENCES, 2 OF WHICH MUST BE CARRIERS:
 
COMPANY ________________________
ADDRESS ________________________
CONTACT ________________________
PHONE NUMBER ________________________
COMPANY ________________________
ADDRESS ________________________
CONTACT ________________________
PHONE NUMBER ________________________
 
COMPANY ________________________
ADDRESS ________________________
CONTACT ________________________
PHONE NUMBER ________________________
COMPANY ________________________
ADDRESS ________________________
CONTACT ________________________
PHONE NUMBER ________________________

 

TERM AND CONDITIONS

 

THE APPLICANT(S) EXECUTING THIS APPLICATION AND AGREEMENT: (“CUSTOMER”) HEREBY AGREES THAT PAYMENT FOR ALL SERVICES IS SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:

 
  1. CUSTOMER AGREES THAT ALL AMOUNTS DUE FOR SERVICES PROVIDED BY MONTGOMERY AIR FREIGHT, INC. AND /OR ANY OF ITS SUBSIDIARIES, INCLUDING BHM EXPRESS AND /OR HARBIN FREIGHT LINES (COLLECTIVELY THE “COMPANY”) ARE PAYABLE AT 4820 WESTPORT BLVD, MONTGOMERY AL 36108.

 
  1. CUSTOMER AGREES THAT ALL AMOUNTS DUE ARE NOT PAYABLE IN INSTALLMENTS, BUT ARE PAYABLE NET 30 DAYS OF DATE ON INVOICE. COMPANY RESERVES THE RIGHT TO DEMAND PAYMENT OF ALL OUTSTANDING AND PAST DUE FREIGHT CHARGES AS A PRE-CONDITION FOR RELEASING ANY SHIPMENTS AT DESTINATION. THIS RIGHT INCLUDES THE RIGHT TO DEMAND PAYMENT UPON DELIVERY OF ANY SHIPMENT (S) AT ANY TIME. IF ANY AMOUNT DUE IS NOT PAID WITHIN SAID PERIOD, A DELINQUENCY CHARGE OF 1.5% PER MONTH OF THE DELINQUENT BALANCE SHALL BE ADDED TO THE SUM DUE.

 
  1. IN THE EVENT THE ACCOUNT BECOMES DELINQUENT AND IS TURNED OVER FOR COLLECTIONS, CUSTOMER AGREES THAT ALL MATTERS SHALL BE LITIGATED IN MONTGOMERY COUNTY, ALABAMA AND CUSTOMER FURTHER AGREES TO PAY ALL REASONABLE ATTORNEYS AND COLLECTORS FEES, PLUS ANY OTHER COLLECTION/COURT COSTS.

 
  1. CUSTOMER AGREES TO NOTIFY THE COMPANY BY CERTIFIED MAIL OF ANY CHANGES IN OWNERSHIP OF CUSTOMER AND FURTHER AGREES TO BE LIABLE FOR ALL LOSSES INCURRED AS A RESULT OF FAILURE TO COMPLY WITH SAID NOTIFICATIONS.

 
  1. CUSTOMER AUTHORIZES THE COMPANY AND /OR ITS CREDIT AGENCY TO INVESTIGATE ALL CREDIT HISTORY, BANK REFERENCES, AND ANY OTHER INFORMATION REQUIRED TO PROCESS THIS APPLICATION AND AS IT DEEMS NECESSARY IN THE FUTURE.

 

 

OFFICER, OWNER, OR PARTNER
________________________________________________
TITLE ___________________________ DATE ____________________________