Credit Application



Basic Company Info

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Ownership


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Trade References

Please provide at least 3
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Bank References


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Other Business Debts

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All accounts have payment terms of net 30 days. Past due bills will accrue interest of 2% or to the full extent of the state law. If your account becomes delinquient and it is turned over to collections, you agree to pay reasonable attorney fees and collections costs to the full extent of the law.

Rate quotes are based upon $100,000 of maximum cargo liability insurance coverage. Higher values can be declared in advance of the move and can be insured for an additional fee.

Rules tarrif applies to all moves.

You will/will not submit a financial statement. Any misrepresentation in this application will be considered evidence of a fraud, since this information is the basis for granting credit.

As an inducement to grant credit, the undersigned warrants that the information submitted is true and correct. Wall Street Systems is authorized to investigate credit references listed