Resources & Documents Credit Application
 

Online Credit Application



General Information

*Legal company name:
*Email address:
*Address:
*City:
*Province:
Postal code:
Telephone:
Fax:
Website:
Custom broker (Export):
Customs broker (Import):
Nature of business:
C-TPAT SVI#:
Number of years in business?
Credit amount required per month?
Type:FranchiseProprietorshipPartnershipLimited company

Principles

Name #1
Title #1
Name #2
Title #2
List other affiliated companies:

Banking Information

Credit References

Reference #1
Company name:
City:
Contact name:
Telephone number:
Reference #2
Company name:
City:
Contact name:
Telephone number:
Reference #3
Company name:
City:
Contact name:
Telephone number:

Please note: The applicant is aware and fully understands that: a) Freight charges are due upon receipt of GX’s invoice and are past due 21 days thereafter.b) Past Due accounts are subject to cancellation and subsequent to third party collection action. c) All freight Charges must be paid before any claims can be processed. Shipper assumes full liability of all charges incurred including interest 2% per month (24% per per annum) if consignee refuses to pay charges on “collect” shipments.

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GX Transport sales representative: