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Credit Application

Download Credit Application Here or complete the form below

Credit Application

Please complete this application and we will contact you shortly after review. If you have any questions, please call us at: (877) 241-7607

Company Name*
Your Name
FirstLast
Your Title
Billing Address*
Street AddressAddress Line 2CityStateZip Code
Fed ID:
DUNS:
Business Structure
Accounts Payable Contact
FirstLast
Phone
Fax
Email
Bank Information
Bank Name:
Bank Address
Street AddressAddress Line 2CityStateZip Code
Bank Contact
FirstLast
Bank Contact Phone
Bank Contact Email
Carrier Credit References
Carrier Name #1
Contact Name
FirstLast
Phone
Carrier Name # 2
Contact Name
FirstLast
Phone
Carrier Name # 3
Contact Name
FirstLast
Phone
By clicking on the box below, you agree to the payment terms of Route Transportation & Logistics, Inc. Payment terms are Net 20 days from Invoice Date. Please show all RTL freight bill numbers when remitting. Any amounts not paid when due will be subject to an interest charge of 2.5% per month.*
- I agree to these terms
Date