Credit Application – Radius International

Credit Application

TERMS AND CONDITIONS APPLY

Contact Information
Your Name*
Title*
Email*
Phone*
Website
Date*
MM slash DD slash YYYY
Sales Rep
Credit Requested $*
Business Information As Registered
Company Legal Name*
Address*
Phone*
City*
State*
Zip Code*
Number of Years At Current Address
Number of Employees
Estimated Annual Sales $
Estimated Monthly Volume
Bank Information
Bank Name
Contact Name
Address
Phone
City
State
Zip Code
Type of Account
Account Number
Business References
Please provide us at least three other companies your business has established credit with previously
Company
Contact Name
Phone
Email
Address
Title
City
State
Zip Code
Comments
Business References
Company
Contact Name
Phone
Email
Address
Title
City
State
Zip Code
Comments
Business References
Company
Contact Name
Phone
Email
Address
Title
City
State
Zip Code
Comments
Credit Agreement
1 | All invoices must be paid within 30 days of the date issued
2 | Any claims regarding an invoice issued must be made within 7 days of the date issued
3 | A faxed or emailed application will be deemed as original
4 | All business is subject to Radius International Inc or Radius Logistics Inc standard terms and Conditions available at www.radiuscargo.com
5 | By Signing you are certifying information that has been provided is true and correct and that it will be used to make the credit decision
*
- I Agree to These Terms & Conditions
Your Full Name*
Authorized Company Representatives
Signature*
Title*
Name*
Date*
MM slash DD slash YYYY
Signature
Title
Name
Date
MM slash DD slash YYYY
CAPTCHA

BUSINESS INFORMATION AS REGISTERED
Company Legal Name*
Address*
Phone*
City*
State*
Zip Code*
Length Of Time At Current Address: ______ Years ______ Months*
Type Of Business: Sole Proprietorship | Partnership | Llc | Corporation | Other*
Type Of Industry:*
Number Of Years In Business: ___________ Number Of Employees: ___________*
Estimated Annual Sales $____________ Estimated Monthly Volume ___________*
CONTACT INFORMATION
Your Name*
Title*
Email*
Phone*
Website
Date: EIN#: DUNS#*
MM slash DD slash YYYY
Sales Rep
Credit Requested $*
U.S Customs ACH Unit #*
ACCOUNTING DEPARTMENT BILLING FOR INVOICES INFORMATION
Your Name*
Title*
Email*
Phone*
ACCOUNTING DEPARTMENT BILLING FOR WEEKLY STATEMENTS INFORMATION
Your Name*
Title*
Email*
Phone*
PREFERRED PAYMENT METHOD
Choose Preferred Payment Method
- Checks
- Ach Payments
Bank Information
Bank Name
Contact Name
Address
Phone
City/state
Zip Code
Type of Account
Account Number
Savings:
Checkings:
BUSINESS REFERENCES
Please provide us at least three other companies your business has established credit with previously
1 | Company
Contact Name
Phone
Email
Address
Title
City
State
Zip Code
2 | Company
Contact Name
Phone
Email
Address
Title
City
State
Zip Code
Comments
3 | Company
Contact Name
Phone
Email
Address
Title
City
State
Zip Code
Comments
CREDIT AGREEMENT
1 | All invoices must be paid within 30 days of the date issued
2 | Any claims regarding an invoice issued must be made within 7 days of the date issued
3 | A faxed or emailed application will be deemed as original
4 | All business is subject to Radius International Inc or Radius Logistics Inc standard terms and Conditions available at www.radiuscargo.com
5 | By Signing you are certifying information that has been provided is true and correct and that it will be used to make the credit decision
AUTHORIZED COMPANY REPRESENTATIVES / OFFICER OF THE COMPANY
1 | SIGNATURE*
Title*
Name*
Date*
MM slash DD slash YYYY
2 | SIGNATURE
Title
Name
Date
MM slash DD slash YYYY
CAPTCHA

TERMS AND CONDITIONS APPLY

Contact Information

Business Information As Registered

Bank Information

Business References

Business References

Business References

Credit Agreement

Authorized Company Representatives

BUSINESS INFORMATION AS REGISTERED

CONTACT INFORMATION

ACCOUNTING DEPARTMENT BILLING FOR INVOICES INFORMATION

ACCOUNTING DEPARTMENT BILLING FOR WEEKLY STATEMENTS INFORMATION

PREFERRED PAYMENT METHOD

Bank Information

BUSINESS REFERENCES

CREDIT AGREEMENT

AUTHORIZED COMPANY REPRESENTATIVES / OFFICER OF THE COMPANY

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