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
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