Credit application

*Company name:
*DBA:
*Contact name:
*Address:
*City:
*State:Zip:
*Phone:
Fax:
*E-mail:
*Company type:
*Owner/President:
*Title:
*Phone:
*Vice Pesident:
*Phone:
*Year Company Was Established:
*Have you ever filed bankruptcy?:
BANKING INFORMATION:
*Bank name:
*Bank phone :
BILLING INFORMATION:
Mail invoices to:
*Company name:
*Address:
*City:
*State:Zip:
ACCOUNTS PAYABLE CONTACT:
*Name:
*Phone:
*E-mail:
TRADE REFERENCES:
1*Company Name:
*Contact name:
*Phone:
2*Company Name:
*Contact name:
*Phone:
2*Company Name:
*Contact name:
*Phone:
TRANSPORTATION REFERENCES:
1*Company Name:
*Contact name:
*Phone:
2*Company Name:
*Contact name:
*Phone:
3*Company Name:
*Contact name:
*Phone:
Conditions of service:

*Invoices are due and payable thirty(30)days fro date of invoice and become past due thirty one (31)days form date of invoice.
*Applicant authorize I&N Transportation Inc to make inquiry of financial and related matters for the purpose of qualifying the applicant for a line of credit.
*I grant permission to the above name bank,trade and transportation references to release pertinent information to I&N Transportation Inc as part of the credit investigation process.
*I understand that this credit application in no way obligates I&N Transportation Inc to extend credit to the undersigned or to his or her company.
*I agree that all information provided to I&N Transportation Inc on this application is true and correct.
*I agree to abide by the Interstate Commerce Commission Rules and regulation pertaining to the payment of transportation and other tariff charges.
*I understand that a carrier, by law, is required to discontinue extending credit when a company doesn't pay by the due date as defined above.
*I agree to pay all collection and/or legal fees incurred by I&N Transportaiton or their agents in the collection of any past due amounts owing on said customer's account.
*I agree and understand that any or all aspects of this agreement will be governed by the laws of Washington State and that the venue shall be in King County, Washington.
*I understand that Past Due balances may be subject to a finance charge of 1.5% per month and agree to pay said charges.
*Name of authorized representative:(Authorized electtonic signature)
The above information is for the purpose of obtaining credit information and is warrented to be true: