PO BOX 1079 ROEBUCK, SC 29376
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WATTS 800-889-8623 PHONE 864-587-1800 FAX 864-587-1835
“We Are Driven” - Volume LTL – Truckload – Expedited Services – Logistics Solutions – www.ontimetrucking.net
On Time Trucking, Inc. Credit Application
Please return by fax to: 864-587-1835
Name of company applying for credit: _______________________________________ Physical Address: _________________________ _________________________ _________________________ Billing Address (if different from physical): _________________________ _________________________ _________________________ Trade References: (Freight Companies) Name_______________________ Address______________________ _____________________________ Phone________________________ Contact name__________________ Acct#________________________
Phone: (___)____________ Fax: (___)_____________ Years in business: _______ Type of business: __Partnership __Sole Ownership __Corporation
Name_________________________ Address_______________________ ______________________________ Phone_________________________ Contact name___________________ Acct#_________________________
Federal tax id:_____________________ Accounts payable contact: __________________ Bank reference: Bank name _______________________ Address__________________________ __________________________ Phone____________________________ Contact___________________________ Acct #____________________________
Name_________________________ Address_______________________ ______________________________ Phone_________________________ Contact name___________________ Acct#_________________________
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Signature or Owner/Principal or Authorized Officer/Partner By signing this agreement, you agree to pay within our standard terms of payment (net 30), and to remit payment to Citicapital Commercial Corporation, P.O. Box 9187, Minneapolis MN 55480-9187. By________________________ Title________________________ Date_______________ (print name)_____________________
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