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Credit Application

Business Contact Information
*Legal Business Name:
*Location Type:       
ADDRESS
*Address One:
Address Two:
City / State:
*Zip Code:
BILLING ADDRESS

Address One:
Address Two:
City / State:
Zip Code:
CORPORATE ADDRESS


Address One:
Address Two:
City / State:
Zip Code:
Accounts Payable Information
*Contact Name::
*Phone Number:
Fax Number:
E-mail Address:
*Purchase Order (PO#) Required?:     
*Bill of Lading (BOL) Required?:     
*Proof of Delivery (POD) Required?:     
Special Billing Instructions: 
Business Information
*Type of Business:
*Business Structure:       
*Date Started: Pick Date
Date Incorporated: Pick Date
*Tax ID(Federal, EIN or SSN):
Current D & B Number:
*Have you, or a business controlled by you, ever declared bankruptcy:
    
Business Owner / Officers

Proprietorships and Partnerships must enter a Principle Owner's name.
Corporations must enter the Officer's names.

Principle Owner:
President:
Vice-President:
Secretary or Treasurer:
Bank Information
*Bank Name: 
*Contact Name: 
*Address One: 
Address Two: 
City / State: 
*Zip Code: 
*Phone Number: 
Fax Number: 
Trade References

Trade references - Please include name, address and phone number (Freight carrier if possible, no service, utility, phone or office supply companies. Three required.

*Reference 1:
*Reference 2:
*Reference 3:
Reference 4:

We would appreciate knowing how you heard about us.  Please select a "Source"
and if that source is a referral, salesperson or other, please enter that information
in the "other" field.
*Source:
Other:
Agreement / Signature
*Estimated Credit Required: $

Applicant (including owners, officers, and agents) agrees to pay Aries Freight Systems, LP ("Aries") within the credit terms offered for all charges incurred. Delinquent payment may result in immediate termination of credit and that all outstanding amounts be paid in full. Payments are to be made in US Dollars. Accounts over thirty (30) days are subject to interest charges at the maximum rate allowed by law. Any dispute with Aries regarding goods and/or services provided by Aries must first be submitted to the American Arbitration Association for resolution. If permitted, any legal action must be filed in Harris County, Texas, unless otherwise provided for by the Laws of the State of Texas. In the event that Aries finds it necessary to retain an attorney and/or take other action in connection with the collection of any accounts or the enforcement or default of any agreement with Aries, Applicant shall reimburse Aries for all reasonable fees associated with such action. Applicant authorizes Aries to investigate references and other data furnished by applicant in connection with this application including obtaining business and/or owner's credit information as deemed reasonably necessary in Aries' sole judgment. Applicant agrees to be bound at all times by Aries' "TERMS AND CONDITIONS OF SERVICE" as well as all applicable federal, state, and local laws.
Signature
*Your Name:
*Your E-mail:
*Your Title:
*Date: Pick Date

By typing in my name above and clicking "Submit Credit Application" button below I am hereby confirming that I understand that I am agreeing to the terms and conditions of this Credit Application and that I agree that this electronic "signature" is legally binding and that I have the authority to sign and accept such agreement on behalf of my company.