Credit Application - UCW Logistics

Company Name*

Applicant's Name*

Applicant's Title*

Phone*

Fax

Email*

Physical Address*

Street Address Address Line 2 City State ZIP Code

Billing Address (if different)

Street Address Address Line 2 City State ZIP Code

Email address you would like invoices emailed to:*

Accounts Payable Contact*

First Last

Accounts Payable Email*

Accounts Payable Phone*

Who is your UCW point of contact?*

How much monthly credit are you requesting?*

Please list memberships in trade associations:

D&B DUNS #:

Federal EIN #:*

File Upload

If you have a file to upload related to your application you may upload it here.

Accepted file types: pdf, doc, docx, txt, jpg, png, Max. file size: 1,000 MB.

Bank References

Bank Name*

Bank Phone*

Address

Street Address Address Line 2 City State ZIP Code

How long have you had account(s) at the listed bank?*

Business References

Company 1*

Business Contact*

Name

Business Phone*

Business fax

Company 2*

Business Contact*

Name

Business Phone*

Business fax

Company 3*

Business Contact*

Name

Business Phone*

Business Fax

APPLICANT AUTHORIZES UCW LOGISTICS, LLC (UCWL) TO OBTAIN CREDIT INFORMATION ABOUT APPLICANT, VERBAL OR WRITTEN, FROM THE ABOVE-NAMED (OR ATTACHED) REFERENCES. IF CREDIT IS EXTENDED, APPLICANT AGREES TO PAY FOR ALL FREIGHT AND RELATED SERVICES ARRANGED OR PROVIDED BY UCW LOGISTICS, LLC AT THE RATES SPECIFIED AND CONFIRMED AT THE DATE OF EACH SHIPMENT, OR DATE THAT OTHER SERVICES ARE PROVIDED. PAYMENTS SHALL BE DUE WITHIN 30 DAYS OF DATE OF INVOICE. APPLICANT’S PAYMENT OBLIGATIONS TO UCW LOGISTICS, LLC SHALL NOT BE SUBJECT TO THE RECEIPT OF PAYMENT BY APPLICANT FROM ANY OTHER PARTY. IN THE EVENT OF NON-PAYMENT OR OTHER VIOLATION OF THIS CREDIT APPLICATION AGREEMENT, APPLICANT WILL PAY ALL COLLECTION COSTS INCLUDING REASONABLE ATTORNEY FEES. APPLICANT REPRESENTS THAT THE PERSON SIGNING THIS CREDIT APPLICATION IS EXPRESSLY AUTHORIZED TO DO SO, THAT IT IS BINDING ON APPLICANT, AND AGREES AND CONSENTS TO VENUE OF GREENVILLE, SOUTH CAROLINA FOR ANY LEGAL ACTION. THIS CREDIT APPLICATION AGREEMENT IS EXPRESSLY INCORPORATED BY THIS REFERENCE, INTO ALL TRANSPORTATION AND OTHER RELATED AGREEMENTS ENTERED INTO BY THE PARTIES, VERBAL OR WRITTEN.

UCWL AGREES TO ARRANGE FOR TRANSPORTATION OF APPLICANT’S FREIGHT PURSUANT TO THE TERMS AND CONDITIONS OF THIS AGREEMENT AND IN COMPLIANCE IN ALL MATERIAL RESPECTS WITH ALL FEDERAL, STATE AND LOCAL LAWS AND REGULATIONS RELATING TO THE BROKERAGE OF THE FREIGHT COVERED BY THIS AGREEMENT. UCWL’S RESPONSIBILITY UNDER THIS AGREEMENT SHALL BE LIMITED TO ARRANGING FOR, BUT NOT ACTUALLY PERFORMING, TRANSPORTATION OF SHIPPER’S FREIGHT.

APPLICANT CERTIFIES AND REPRESENTS THAT: IT (HE/SHE) HAS RECEIVED A COPY OF THIS AGREEMENT; AGREES TO THE FULL TERMS AND CONDITIONS ON UCW’S WEBSITE: www.ucwlogistics.com/terms-conditions/, WHICH ARE INCORPORATED INTO AND MADE PARTY OF THIS AGREEMENT; ALL INFORMATION PROVIDED TO UCWL IS TRUE AND CORRECT; AND THAT APPLICANT EXPRESSLY INTENDS UCWL TO RELY UPON IT. APPLICANT GRANTS PERMISSION TO UCWLTO CONTACT ANY OR ALL REFERENCES, TRADE AND BANK INCLUDING COMMERCIAL CREDIT REPORTING AGENCIES, AT ANY TIME BEFORE OR AFTER EXTENDING CREDIT TO APPLICANT, AND THAT THE BANK(S) IS AUTHORIZED TO DISCLOSE ACCOUNT NUMBERS, CHANGES IN ACCOUNT NUMBERS (INCLUDING WITHOUT LIMITATION CLOSING OF ANY ACCOUNTS), AS WELL AS ACCOUNT NAMES, BALANCES, AND ACCOUNT HISTORIES.

Terms & Conditions Agreement*

I have reviewed and agree to the Terms & Conditions.

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Phone

This field is for validation purposes and should be left unchanged.