Credit Application

We appreciate the opportunity to provide you with our services. We will accordingly extend our credit terms to qualified customers. If you wish to open an account, please complete this application and return it to our office. We will not initiate any production until approval is confirmed.

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Step 1 of 4

Company Information:

Name of Company:*

Date*

Street Address:*

City:*

State:*

Zip Code:*

Phone Number:*

Physical Business Location:*

State:*

Zip Code:*

Type of Business:*

FEIN Number:*

Bank Reference:

Bank Name:*

Account Number:*

Street Address:*

City:*

State:*

Zip Code:*

Contact:*

Phone Number:*

Fax Number:

Applicant Must Read and Sign:*

I hereby certify that I am duly authorized to make this application and allow verification of the above information. I guaranty payment of all bills when due, and acknowledge a delinquency assessment at the maximum allowable Interest rate by law until paid; and in the event the account is placed with an attorney for collection or suit of the same is collected through probate or bankruptcy proceedings. then an additional reasonable amount shall be added to the same as attorney fees. It is understood and agreed that any checks returned to us by your bank shall be charged a service fee: that any amount with an N.S.F. check shall be placed on a C.0 D cash only basis for a probationary period determined by the determined by the Credit Department. This guaranty shall be continuing, absolute and unconditional, and shall remain in full force until written notice of its discontinuance is sent by certified or registered mail, return receipt requested and actually received by the SERV Companies and until any and all indebtedness existing before receipt of such notice shall be fully paid.

Name:*

Title:*

Signature*

Agreement to Terms and Conditions By signing this Credit Application, Applicant acknowledges that they have read, understand, and agree to be bound by SERV Transport LLC’s Terms and Conditions, including but not limited to payment terms and the requirement that all invoice disputes must be submitted in writing within thirty (30) days of the invoice date. Failure to dispute an invoice within thirty (30) days constitutes full acceptance of the charges as invoiced.

Credit Application