Go Sunship e-Commerce

BUSINESS CREDIT APPLICATION

Required Info

Contact Information

Billing Address

Maximum Load Value

What is the total amount of your quote?

Do you accept invoices via Email? (copies of bills of landing can be attached)

Yes No

Email for Invoices

Do you have LTL Freight

Yes No

Company Classification

Year Business Started

D & B Number

Company Type

Owner Name

Stock Symbol

Estimated full truckloads per week

Accounts Payable

Accounts Payable Contact

Accounts Payable Phone

Accounts Payable Email

Will we invoice a third party payment processor?

Yes No

Will we invoice other locations

Yes No

Billing Information

To process payment, may we exclude bills of lading from the invoice?

Can we contact you to discuss Electronic Data Interchange (EDI) transactions?

Do you require pallet exchange?

Do you reimburse for unloading charges?

Do you have the ability to pay via ACH?

To process payment, do you require load tenders?

Do you have any additional Billing requirements (We will reach out to your billing contact)?

Bank Reference (Required For Maximum Credit)

Bank Representative

Bank Name

Bank Phone

Checking Account Number

Bank Fax Number

Email Connected to Account

Credit References (Required for Maximum Credit)

Contact Name 1

Company Name 1

Contact Phone 1

Contact Name 2

Company Name 2

Contact Phone 2

Contact Name 3

Company Name 3

Contact Phone 3

General Terms And Conditions

I Accept The Terms And Conditions Contained In this Agreement

By selecting "Accept" above and submit below, I am signing this Agreement electronically. I agree my electronic signature is the legal equivalent of my manual signature on this Agreement. By selecting "Accept" I, and the company/entity I have authority to bind, consent to be legally bound by this Agreement's terms and conditions.

Name

Position

Date

How did you first hear about us?

BUSINESS CREDIT APPLICATION

Required Info

Company Classification

Accounts Payable

Billing Information

Bank Reference (Required For Maximum Credit)

Credit References (Required for Maximum Credit)

General Terms And Conditions

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