Credit Application For Freight / Other Tariff Charges Form
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1Alliance Air Freight, Inc.
Credit Application for Freight & Other Tariff Charges
For Alliance Air Freight’s use
Date______________ Svc Ctr SIC____________ Svc Ctr Fax(Contact) ____________________________
DunsVoice Conf # ________Dunsvoice Inquiry Date _________
Company Legal Name: ______________________________________________________________________
DBA____________________________________________________________________________________
Street Address: __________________________________________________________________________
City: ____________________________ State: _____________ Zip________________________________
Telephone_______________________ FAX ____________________________________________________
Dun & Bradstreet #___________________
Years at this location _________________Years in business________________________________________
Previous Name and Location:
________________________________________________________________________________________
________________________________________________________________________________________
Name and Address of Person Responsible for Payment of Freight Charges:
________________________________________________________________________________________
Credit Limit Requested (Credit Terms - 15 Days
): _______________________________________
1) Corporation ________ Date of Incorporation __________________________________________________
Parent/Headquarters Location
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
2) Partnership
____ Partner Name ______________________ SS# _______________________________
Partner Name _____________________ SS# _______________________________
3) Sole Proprietorship ___ Principal ________________________
SS# _______________________________
Credit References (Please include area codes in telephone no)
1) Company Name ___________________________ Tel No ________________ Contact
_________________
2) Company Name ___________________________ Tel No ________________ Contact
_________________
3) Company Name ___________________________ Tel No ________________ Contact
_________________
4) Company Name ___________________________ Tel No ________________ Contact
_________________
5) Company Name ___________________________ Tel No ________________ Contact
_________________
6) Company Name ___________________________ Tel No ________________ Contact
_________________
On behalf of company, I certify we are familiar with and agree to abide by the General Rules Tariff terms/conditions pertaining to
the payment of transportation and other tariff charges.
If company‛s account is placed in the hands of an attorney for collection, company promises to pay reasonable attorney fees and
collection costs, even though legal proceeding are not filed. If legal proceedings are filed, the court in which the proceeding is filed,
including any appeal therein shall fix the amount of such reasonable attorney fees.
Date _____________
_____________________________________________________________
Signature/Title of Applicant (Required)
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