Birmingham Air Freight OnLine Credit Application

Company Name:
Billing Address:
City: State: Zip:
Check box if physical address and billing address are the same.
Physical Address:
City:State: Zip:
Phone Number: Fax Number:
Type of Business:
Years in Business: Number of Employees:

Bank Name:
Bank Address:
City: State: Zip:
Phone Number: Account Number:

Please list four references:
Company:
Address:
City:State: Zip:
Phone Number: Contact:

Company:
Address:
City:State: Zip:
Phone Number: Contact:

Company:
Address:
City:State: Zip:
Phone Number: Contact:

Company:
Address:
City:State: Zip:
Phone Number: Contact:

TERMS AND CONDITIONS
     The applicant executing this application hereby agrees that payments for all services are subject to the
following terms and conditions.
  1. Customer agrees that all amounts due are not payable in installments, but are payable Net 30 days
    of date of invoice. Company reserves the right to demand payment of outstanding and past due
    freight charges as a precondition for releasing shipments at destination.
  2. Customer agrees to notify company of any charges in ownership of company and agrees to be liable
    for losses incurred as a result o failure to comply.
  3. Customer authorizes company to investigate all credit history and bank references required in this
    application as it deems necessary.
Signature*: Last 4#'s SSN:
Title: Date:
I have read and agree to the terms of the electronic submission agreement of Birmingham Air Freight.
View Terms

    

If you do not wish to use the online submission you may download a copy
and send it to us at: 5335 Airport Hwy., Birmigham, AL 35212-1527 
Click the file type you wish to download.   PDF    DOC

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