| Credit Application |
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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.
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(Please fill out this form completely)
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| Full Name of Company |
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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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| Other: |
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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 notification to |
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| Fax options |
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| Industry Type |
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| Other: |
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This application will also serve as an authorization to release
information 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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| Bank Name |
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| Contact |
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| Phone |
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| Line of Credit Acct. |
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| Account Number |
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| Account Number |
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| Name of Company Officer Approving |
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| Title of Company Officer Approving |
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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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| 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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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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| 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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| Airline Name |
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| Three Digit Prefix |
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| Two Letter Airline Code |
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| Payables Contact |
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| Phone Number |
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| Fax Number |
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| Invoicing Format |
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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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| The 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: Dept 888155 Knoxville, TN 37995-0001 |
| 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. |
| 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. |
| 4. |
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. |
| 5. |
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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If printed and
submitted by mail SEND TO:
Credit and Collections
1915 Snapps Ferry Rd
Building N
Greeneville, TN 37745-3509
(423) 636-7055
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If printed and submitted by Fax SEND TO:
(423) 636-7275
Attn: Credit and Collections |
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