Customer Credit Application

Phone *
Phone
Fax
Fax
Shipping Address *
Shipping Address
Billing Address
Billing Address
Type Of Entity
Accounts Payable Contact
Accounts Payable Contact
Billing Method
BOL's required for billing
Preferred Contact
Name
Name
Phone
Phone
List Three (3) Trade References (One trucking company, if possible)
Phone Number
Phone Number
Phone Number
Phone Number
Phone Number
Phone Number
Select the Max Trans Logistics Account Manager requesting Credit Application.
I Certify the information above is correct and authorize references to release any account information requested. I agree to abide by all the terms of the National Motor Freight Classification rules, tariffs, and the conditions of the bill of lading contract, as well as, terms and policies as indicated on the terms and policies page of this Credit Application. *
I Certify the information above is correct and authorize references to release any account information requested. I agree to abide by all the terms of the National Motor Freight Classification rules, tariffs, and the conditions of the bill of lading contract, as well as, terms and policies as indicated on the terms and policies page of this Credit Application.
*