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To
apply for credit with Forward Air, Inc., please complete the following application.
When you click the "Submit Form" button
at the end of the
form, the information you enter will be sent to the Forward Air Credit and Collections
department for review.
Note: The form will not work with some browsers (e.g., AOL).
If a blank email form displays when you click the "Submit
Form"
button, please call the Credit and Collections Department at
(423) 636-7055 to find out how to apply.
If you prefer to print and fax, please
click here |
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Please fill out this form completely)
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| Billing Address |
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| City |
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| State/Postal Code |
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| Physical
address |
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| City |
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| State/Postal
Code |
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| Phone Number |
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| Fax |
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| Company President |
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| Controller |
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| Accounts Payable Contact |
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| Fed-ID# |
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| Type of
Business |
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| Parent Company |
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| Branches |
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Has ownership changed
in the last year? |
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| Years in business |
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| Freight payment schedule NET |
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Are you on schedule with your
payments now? |
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Fax options |
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This
application will also serve as an authorization to release
a referance from your bank to Forward Air/Profiles Int'l., and any
creditors who may need an authorization from you, the
customer. The information contained herein is confidential and
is only supplied to the company for which you are applying for
credit. This also authorizes companies to FAX back their reply
to us.
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Contact
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Line
of Credit Acct. #
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Name of Company Officer Approving |
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Title
of Company Officer Approving
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REFERENCES
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Please list
four References, two of which
MUST be carriers.
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City |
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State |
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Phone
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Reference Two
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Company Name
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Contact Person
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City
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State
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Phone
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| Reference Three
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Company Name
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Contact Person
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City
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Reference Four
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State
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Phone
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AIRLINE
CUSTOMER PROFILE
(for airline accounts only) |
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| Reference
Numbers or Paperwork Requested for Invoice Reconciliation
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Account
Comments: Is the Airline Managed by a GSA?
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If
yes, give contact information for GSA and list payment
responsibilities including lane segments, import/export variations,
and list of stations included in each region if sorted regionally.
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| TERMS
AND CONDITIONS |
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applicant(s) executing this
Application and Agreement ("Customer") hereby agree(s) that payment for all
services is subject to the following terms and conditions: |
| 1. |
Customer
agrees that all amounts due for services provided by Forward Air,
Inc. and/or any of its affiliates, (collectively the
"Company") are payable at PO Box 1058, Greeneville TN 37744 |
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| 2. |
Customer
agrees that all amounts due are not payable in installments,
but are payable Net 30 days from date of invoice.
Company reserves the right to demand payment of all
outstanding and past due freight charges as a pre-condition
for releasing any shipment(s) at destination. This
right includes the right to demand payment upon delivery of
any shipment(s) at any time. If any amount 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. |
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| 3. |
In
the event the Account becomes delinquent and is turned over
for collection, Customer agrees to pay all costs of collection
including reasonable attorney fees and court costs. |
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Customer
agrees that any claim or lawsuit relating to collection of
charges for the services provided by the Company shall be filed
in an appropriate Federal or State court of Greene County,
Tennessee, and Customer consents to the exclusive and binding
jurisdiction of said court. |
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5. |
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. |
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6. |
Customer authorizes the
Company and/or its Credit Agency(s) to investigate all credit history, bank references and
any other information required to process this application and as it deems necessary in
the future. |
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Date (mm/dd/yyyy) |
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Officer, Owner or Partner
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Title
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Email
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If printed and
submitted by mail SEND TO:
Credit and Collections
P.O. Box 1058
Greeneville Tennessee 37744
(423) 636-7055
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If
printed and submitted by Fax SEND TO:
(423) 636-7276
Attn: Credit and Collections |
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