Zenith Freight Lines


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Credit Application for Freight and Other Tariff Charges


Company Name:
Shipping Address:	Billing Address:

City:	City:

State:	State:

Zip:	Zip:


Phone #:	Phone #:

Fax #:	Fax #:


Name Of Owners:	Length of time in business:

Credit Requirements: Maximum charges expected to accrue during a seven day Period:

1. Credit References:
Bank Name:	Contact:

Address:	Account #:

City:	Phone #:

State:	Fax Number #:

Zip Code:

2. Motor Carrier References:
1. Name:	2. Name:

Address:	Address:

City:	City:

State:	State:

Zip Code:	Zip Code:

Phone #:	Phone #:

Fax #:	Fax #:

3. Other References:
1. Name:	2. Name:

Address:	Address:

City:	City:

State:	State:

Zip Code:	Zip Code:

Phone #:	Phone #:


Shipping Information
1. Contact Person:
2: Receiving:	Days:	Hours:
3: Appointment Required:	Yes: No:
4. Any other pertinent information that will help us to better serve the needs of your company:

On behalf of the above company, I certify that we are familiar with and agree to abide by the Interstate Commerce Commission Rules and Regulations pertaining to the payment of transportation and other tariff charges. We have read, understand and will abide by the credit terms stated by Zenith Freight Lines. There will be a forfeiture of all credit privileges if the time allowed for payment of tariff charges is violated.

Per submitting this form, I release all checking and/or loan information to Zenith Freight Lines for the purpose of processing this credit application.

Your Name:
Your Title:
Today's Date:

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