| Step 1: Complete the credit application |
| * - Required Fields |
| 1. Summit Logistics, Inc. |
| User Name or Customer Number: |
|
| 2. Company Information |
| *Company Name: |
|
| *Accounts Payable Contact: |
|
| *Name And Email: |
|
| *Full Legal Name: |
|
| Name Doing Business As: |
|
| *Billing Address: |
|
| *City: |
|
| *State: |
|
| *Zip: |
|
| *Phone Number: |
|
| *Fax Number: |
|
| *Accounts Payable Phone Number: |
|
| *Accounts Payable Fax Number: |
|
| *Company Type: |
|
| Corporation Partnership Proprietorship Franchisee Other |
| 3. Business Credit Information |
| *Federal Tax ID: |
|
| *Principal Business of Firm: |
|
| *Year Established: |
|
| At Present Location Since: |
|
| *Is Business Incorporated?: |
|
| *If so, under laws of what state?: |
|
| *Credit Line Requested $: |
|
| 4. Bank References |
| *Bank Name: |
|
| *Account Number: |
|
| *Contact: |
|
| *Address: |
|
| *City: |
|
| *State: |
|
| *Zip: |
|
| *Phone Number: |
|
| *Fax Number: |
|
| 5. Credit References |
| *Reference 1-Company Name: |
|
| *Contact: |
|
| *Address: |
|
| *City: |
|
| *State: |
|
| *Zip: |
|
| *Phone Number: |
|
| *Fax Number: |
|
| *Reference 2-Company Name: |
|
| *Contact: |
|
| *Address: |
|
| *City: |
|
| *State: |
|
| *Zip: |
|
| *Phone Number: |
|
| *Fax Number: |
|
| In consideration of Summit Logistics, Inc. extending credit to company, company agrees to pay for all items sold and delivered to company by Summit Logistics, Inc. within the terms and conditions of the invoice for said items. Summit Logistics has credit terms of net 15 days.
The laws of the state of Indiana shall cover the terms and conditions of this agreement. In the event this account goes to collection, company agrees to pay for all collection fees including reasonable attorney fees. Company authorizes Summit Logistics, Inc. to obtain credit and financial information at any time and from any source.
By submitting this application you certify that all the information provided in this application is true and correct. You are authorized to sign this application on behalf of the company and you agree by signing this Agreement, your company authorizes Summit Logistics, Inc. to obtain information for the purposes of establishing a Business Account and acknowledges and agrees that the Terms and Conditions described herein shall govern the sale of products and services by Summit Logistics, Inc. to your company. |
| Step 2: Enter your name, then submit the application |
| Enter your name below: |
| Authorized Name: |
|
| Title: |
|
| Date: |
|
| This account is set up for the original Applicant and for security reasons may be changed only by that individual. Please contact Summit Logistics, Inc. if you have any questions or to request a change. Telephone: 1-800-555-7434, or Email: solutions@summitlogexp.com |
|
|
