2015 Credit Application for Shippers

DELIVERING TRUST DAILY
TRUCKING
1.541.734.5610
Credit Information
Nationwide Freight Logistics, LLC
1710 E. Pine St., Ste C
Central Point, OR 97502
Office: 541.734.5610 | Fax: 1.541.734.0832
MC# 676610 | SCAC CODE: NFLK | EIN#: 26-4419312
BANK REFERENCE
People’s Bank
1311 E Barnett Rd. | Medford, OR 97504
Phone: 541.622.6222
CONTINGENT CARGO INSURANCE
Policy #IHX A 315573-00
Ahmann-Martin
7555 Market Place Drive | Eden Prairie, MN 55344
Phone: 1.952.947.9700 | Fax: 1.952.947.9793
CUSTOMER REFERENCES
J. Frank Schmidt & Son, Co.
9500 SE 327th Avenue
Boring, OR 97009
P: 800.825.8202
Means Nursery
33668 Johnsons Landing Road
Scapposose, OR 97506
P: 1.503.543.7542
Portland Bolt
P.O. Box 2866
Portland, OR 97208
P: 1.503.227.5488
Reser’s Fine Food
15570 SW Jenkins Rd.
Beaverton, OR 97006
P: 1.877.543.4939
Nationwide Freight Logistics, LLC | 1710 E. Pine St., Ste C, Central Point, OR 97502
p: 541.734.5610 | f: 1.541.734.0832 | www.NFLtrucking.com
DELIVERING TRUST DAILY
TRUCKING
General Liability
1.541.734.5610
Nationwide Freight Logistics, LLC | 1710 E. Pine St., Ste C, Central Point, OR 97502
p: 541.734.5610 | f: 1.541.734.0832 | www.NFLtrucking.com
DELIVERING TRUST DAILY
TRUCKING
Contingent Cargo
1.541.734.5610
Nationwide Freight Logistics, LLC | 1710 E. Pine St., Ste C, Central Point, OR 97502
p: 541.734.5610 | f: 1.541.734.0832 | www.NFLtrucking.com
FAX COMPLETED INFORMATION TO 541.734.0832
DELIVERING TRUST DAILY
TRUCKING
TERMS: NET 30 DAYS FROM DATE OF INVOICE 1.541.734.5610
Interest on past due balances at the maximum rate allowed by law not to exceed 12% per annum.
CUSTOMER INFORMATION
Legal Name of Company ___________________________________ dba _____________________________
Street Address _____________________________________City/State/Zip ____________________________
Billing Address ____________________________________City/State/Zip ____________________________
Contact ___________________________ Phone __________________________ Fax ___________________
Year Established _______________________ Officer / Owner’s Name _______________________________
Business Trade Style _______________________________________________________________________
(Please select one)
Corporation
Sole Proprietor
Partnership
LLC
LLP
REFERENCES
Bank ________________________________ Phone __________________________ Fax: ________________________
Address _________________________________________ Acct# __________________ Acct# __________________
Officer _______________________________
Checking
Savings
Checking
Savings
Please provide a list of references that currently extend credit terms to your company.
1. Vendor ___________________________________________ 1. Vendor ___________________________________________
City/State ___________________________________________ City/State ___________________________________________
Phone ____________________ Fax ______________________ Phone ____________________ Fax ______________________
1. Vendor ___________________________________________ 1. Vendor ___________________________________________
City/State ___________________________________________ City/State ___________________________________________
Phone ____________________ Fax ______________________ Phone ____________________ Fax ______________________
This Application and Agreement is submitted by Customer to Nationwide Freight Logistics LLC., a freight broker, (“NFL”) to obtain trade credit. NFL reserves the right to
decline credit to Customer and in the even credit is extended to Customer, to change or revoke credit based upon Customer’s financial condition and/or payment record.
Customer agrees that NFL may verify any of the information contained herein, including without limitation, by checking credit references or obtaining credit reports with regard
to Customer or any of Customer’s principals listed herein. Customer hereby authorizes the release of credit and banking information to NFL by the references listed on this
application.
Customer agrees to pay by the terms of sale listed on each NFL invoices. In the case of a credit sale, the terms of payment are net 30 days from date of invoice. NFL may
charge a finance fee of 1.5% per each 30 day period, or part thereof, for any invoice that is past due (or, if lower, the maximum allowed by law). In the event that any suit or
action is instituted to collect any amount due under Customer’s account, Customer agrees to pay, in addition to the amount owed, all collection costs incurred including
attorney’s fees and other costs to collect monies due. Customer agrees that NFL is permitted to hold and liquidate Customer’s freight to satisfy any of Customer’s outstanding
unpaid freight charges due to NFL. This Agreement shall be construed in all respects in accordance with the laws of State of Oregon. Customer agrees that payment of
freight charges may not be postponed or setoff due to alleged loss, damage or delay to freight.
THIS CREDIT APPLICATION AND AGREEMENT IS SUBJECT TO NFL’s CUSTOMER/BROKER TERMS & CONDITIONS WHICH ARE INCORPORATED HEREIN AND
AVAILABLE UPON REQUEST. SIGNATURE OF THIS CREDIT APPLICATION AND AGREEMENT ON BEHALF OF CUSTOMER BINDS CUSTOMER TO ITS TERMS,
AND TO THE TERMS CONTAINED IN NFL’s CUSTOMER/BROKER TERMS & CONDITIONS.
__________________________________________ _________________________________ ___________________________ _________
Signature of Owner/Principal
Printed Name
Title
Date
Nationwide Freight Logistics, LLC | 1710 E. Pine St., Ste C, Central Point, OR 97502
p: 541.734.5610 | f: 1.541.734.0832 | www.NFLtrucking.com