Credit-Term Customer Application Form

Two Ways to Apply

To quickly submit a credit-term application, you can either apply using the secure online form provided below, or you may request a printable account / credit application with terms & conditions via e-mail to [email protected] with a copy to [email protected]. We look forward to working with you.

From:

Application completed by*

Company Name*

Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years at this address*

Email Address

Phone*

Fax

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Billing To Address*

Same as Mailing Address

Street Address Address Line 2 City State ZIP Code

Attention of*

Phone*

Email*

Ownership:

The following information must be provided. It will be held in the strictest of confidence.

Business entity*

Corporation
Partnership
Individual

Name(s) of Principal(s)*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Name(s) of Principal(s)

Address

Street Address Address Line 2 City State ZIP Code

Phone

Finance:

Bank*

Account Number*

Contact Name*

Email

Address*

Street Address City State ZIP Code

Phone*

Fax

DUNS Number:

Number

Reference 1:

Company Name*

Contact Name*

Email*

Address*

Street Address City State ZIP Code

Phone*

Fax

Reference 2:

Company Name*

Contact Name*

Email*

Address*

Street Address City State ZIP Code

Phone*

Fax

Reference 3:

Company Name*

Contact Name*

Email*

Address*

Street Address City State ZIP Code

Phone*

Fax

Hereby applies for credit in accordance with the terms and conditions of:

Credit Terms*

I certify that all the information on this form is correct, and fully understand and accept your terms and conditions.

Credit Release*

I authorize the release of credit information for the purpose of establishing an account.

To:

Global Freight Solutions, Inc. 1240 E. Victoria Street, Carson, CA 90746 | Attn: Credit Manager

Name*

First Last

Title*

Date*

Please sign in the box below with your mouse if you are on a desktop, or via your finger if you are on a mobile device.

AGREEMENT: By signing this Electronic Signature Acknowledgment, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Signature*

I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this document.

Global Freight Solutions, Inc. Terms & Conditions of Service

View Terms And Conditions

VIEW GFS TRANSPORTATION TERMS & CONDITIONS

Initial*

VIEW GFS WAREHOUSE STORAGE AGREEMENT

Initial*

Acknowledgment and Warranty of Authority

Name*

First Last

Position or Title*

On Behalf of Company*

Company or Artist*

Date*

Address*

Street Address Address Line 2 City State ZIP Code

The person signing this Agreement on behalf of the Customer represents and warrants that he or she has the authority to sign this Agreement on behalf of the Customer, including appointment of GFS as Customer’s attorney in fact and to assure GFS full and prompt payment. The person signing below certifies that the information given in the Customer Data and Credit References is true, correct and complete and further understands that GFS will rely on this information for the extension of credit.

Please sign in the box below with your mouse if you are on a desktop, or via your finger if you are on a mobile device.

AGREEMENT: By signing this Electronic Signature Acknowledgment, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Signature

I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this document.

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Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country