Credit Application | Double R Logistics

top of page

dispatch@doublerlogistics.com

Truck and Warehouse

Credit Application

Applicants Name

Phone

Email

Address

City

State

Zip

Person/Title Providing Credit Information

Membership in Trade Associations?

Party to any litigation?

List any judgements against the company

Accounts Payable Contact

Do you accept invoices via email?

Yes

No

Federal ID

Company Websites

Will you pay by ACH or ECF electronic transfers?

Yes

No

Bank References

Bank

Phone

Address

Contact

Account #

Length of time with account

Name any other banks (address/contact/phone)

Business References

1:

Company

Phone

Comment

Length of Relationship

Nature of Relationship

2:

Company

Phone

Comment

Length of Relationship

Nature of Relationship

View Terms & Conditions

I agree to the terms and conditions Required

Yes

No

W9 Form

Upload File

Upload supported file (Max 15MB)

Certificate of Insurance

Upload File

Upload supported file (Max 15MB)

Athority

Upload File

Upload supported file (Max 15MB)

Additional Information

Upload File

Upload supported file (Max 15MB)

Person authorized to sign

Your Signature

bottom of page