PLEASE COMPLETE ENTIRE FORM

Credit Application Form

"*" indicates required fields

Complete Business Name*

Email Address*

Phone Number*

Fax Number*

Address*

City*

State*

Zip*

President*

Owner (if different than President)

Account Payable Contact*

How long in Business*

Type of Business*

Individual

Corporation

Partnership

Are you a*

Shipper

Carrier

Freight Broker

List three references with whom you have had open account activities
with for not less than 3 months (other carriers preferably)

Company Name*

Contact Name*

Address*

City*

State*

Phone Number*

Fax Number*

Company Name*

Contact Name*

Address*

City*

State*

Phone Number*

Fax Number*

Company Name*

Contact Name*

Address*

City*

State*

Phone Number*

Fax Number*

Bank Reference

Name of Bank*

Contact Name*

Business Account #’s*

Address*

City*

State*

Phone Number*

Fax Number*

Your Name*

Your Position*

OPEN ACCOUNT TERMS AND POLICY

Payment terms are net 30 days from our date of invoice (providing credit requirements have been met)
No monthly statements are issued, please pay by the invoice and by the due date.
Service and interest charges of not less than 2% per month will be charged to accounts over 30 days.
Any account with NSF Cheque shall be cash or due on receipt (certified cheque) for future transactions and a fee of $50.00 will be charged as a processing/collection fee.
GN Transport Ltd. appreciates your business and our objective is to provide you with good service and competitive rates. Prompt payment of your account will allow us to maintain this commitment. Thank you for your support.

I have read and understand the above credit terms and policy and agree to maintain our account in accordance with this policy in consideration of credit extended as per our request. By submitting this form you give GN Transport consent to perform all the credit checks necessary in order to set up your account.

Name

This field is for validation purposes and should be left unchanged.

PLEASE COMPLETE ENTIRE FORM

Credit Application Form

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