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Credit Application (Form)
Credit Application (Form)
Step 1 of 4
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COMPANY INFO
Company Name
*
Company Structure
*
Corporation
Partnership
LLC
Address 1
*
Federal Tax ID
Address 2
Date Established
*
City
*
Type of Business
*
State
*
Website Address
Zip Code
*
Duns #
Country
*
SIC Code
Billing Address
*
Invoices Mailed or Emailed?
*
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Mailed Invoices
Emailed Invoices
City
*
AP Email Address
State
*
AP Contact Name
Zip Code
*
AP Contact Phone
REFERENCES
Name
Reference 1
Address
Phone
Fax
Name
Reference 2
Address
Phone
Fax
Name
Reference 3
Address
Phone
Fax
BANK INFO
Name of Bank
Account #
Address
Phone
Contact
Fax
TERMS & CONDITIONS
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Do you accept the Terms and Conditions as outlined above?
*
Yes
No
I hereby certify that the information contained herein is complete and accurate, and I am authorized to sign and complete this application. In addition, I authorize the release of bank and credit information to AFP Global Logistics to determine the amount of credit and conditions of credit to be extended.
Digital Signature
*
Please type out your full legal name, this will serve as your electronic signature.
Phone
This field is for validation purposes and should be left unchanged.
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