Credit Application Form

Email

Firm Name

Physical Address

  • City
  • State
  • Zip


If shipping address is the same click here.

  • Phone
  • Fax

Type of Ownership

Principal Owners

Years In Business

Billing Address

  • Billing City
  • Billing State
  • Billing Zip


Attention

Click here if you have a Dunn and Bradstreet #.

Bank References 1

Bank Name

Bank Account Number

  • Bank City
  • Bank State


Bank Phone

Bank Contact

Bank References 2

Bank Name

Bank Account Number

  • Bank City
  • Bank State


Bank Phone

Bank Contact

Trade References 1

Trade Reference Name

Trade Reference Account Number

  • Trade Reference City
  • Trade Reference State


Trade Reference Phone

Trade Reference Contact

Trade References 2

Trade Reference Name

Trade Reference Account Number

  • Trade Reference City
  • Trade Reference State


Trade Reference Phone

Trade Reference Contact

Payment Terms
Confirmation of Information and Release of Authority to Verify

The undersigned, for the purpose of procuring and establishing credit with Explore Airtrans Services (EAS), LLC and to induce Explore Airtrans Services (EAS), LLC to permit to be indebted to Explore Airtrans Services for purchase of services, furnishes the above business and personal credit information. The undersigned, jointly and individually certify that all information in the credit applications completely factual and correct, and understands that Explore Airtrans Services will rely on the accuracy of this information for any credit which may be extended. Explore Airtrans Services is expressly authorized to contact any parties listed herein, and to verify any information contained in this credit application. The undersigned hereby waives andy privacy of credit information rights and regulations.
If any representations made on the application prove to be untrue, the undersigned agrees that all obligations of

to Explore Airtrans Services shall immediately become due and fully payable without demand or notice. The undersigned also agrees to pay Explore Airtrans Services within 15 days from the date of invoice. Explore Airtrans Services shall charge 1.5% per month service charge on any invoice not paid within 30 days until the debt is paid in full. A $25.00 Fee will be assessed for returned (or bad) checks. If terms and obligation are unfulfilled, the undersigned also agrees to pay reasonable collection fees and for legal services in the event suit is filed against the below named company to enforce collection. It is further agreed that this agreement shall be governed by the laws of the state of New Jersey.
NOTE: APPLICATION MUST BE SIGNED BY THE OWNER OR PARTNER. IF A CORPORATION AN OFFICER MAY SIGN.

Company Name

Title

Print Full Legal Name

Excess Valuation Release

This is to confirm that


has read and understands the terms of Explore Airtrans Services House Air Waybill (airbill) and the Conditions of Carriage (contract) contained on the reverse thereof

agrees that even if another part to this Contract of Carriage enters a Declared Value on the airbill

agrees Explore Airtrans Services liability will only be the minimum liability. The minimum liability as stated on the Explore Airtrans Services airbill is $50.00 or $.50 cents per pound, per piece, of cargo lost, damaged, misdelivered or oherwise adversely affected. Explore Airtrans Services n turn will not charge

an additional charge for excess value or declare value.

Company Name

Print Full Legal Name

Phone




Click here if your shipment falls in any of the catagories below:

  • Shipments of prototype material, models, or one of a kind items.
  • Rugs, namely Oriental or Indian.
  • Personal effects or household goods.