Credit Account Application

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Credit Account Application

Date: *

Company Name: *

Address: *

City: *

State: *

Zip Code *

Phone Number: *

Fax Number:

Email: *

US Express Contact:

Business Type: *

Sole Proprietorship
Partnership
Corporation

In What State: *

Number of Years in Business: *

Federal Tax ID: *

D & B Number:

Name and Address of Individuals or Partners - Name/Title/Phone Number of Corporate Officers: *

Name of Person to Contact Regarding Purchase Orders and Invoice Payments - Title/Address/Phone Number: *

Bank Reference - Bank Account Name & Number/Contact/Title/Phone Number: *

Trade References - Company Name/Address/Contact/Phone Number: *

Terms & Conditions:
Should you fail to make full payment within 60 days of the date of the invoice, you agree to pay US Express Air Freight Systems, Inc. reasonable attorney's fees of forty percent (40%) of the amount i arrears, plus all other costs of collection.

The above information is herewith submitted for the purpose of opening an account and I do hereby certify this to be true.

Title: *

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