Cargo Services Express, Inc.

17951 SW 35 ST.

Miramar, FL 33029

Tel:  (305)888-1188  Fax: (305)403-0552

Credit Application and Agreement

Please fill out this form out completely electronically, include signature,

then print and fax or email a copy to us or credit application will be rejected.

 

Company Name Fed-ID #  
Billing Address:
City State:   Zip Code  
Physical Address:
Toll Free Number   Telephone #   Fax #  
President Controller
Accounts Payable Contact A/P Tel #:
Type of Business: Corporation Sole Proprietor Partnership
Year Business Started:   Parent DUNS Number
 

 

Paperwork Required With Invoice: (check all that apply)

Hard Copy

 Detail Manifest (includes pod, ref #,mawb #, and charges breakdown

Autho Numbers

 

Do you accept invoices by:

Fax or by Email
If ok to send by email, please specify email address:
       
This application will also serve as an authorization to release information from your bank to Cargo Services Express, Inc., and any creditors who may need an authorization from you, the customer.  The information contained herein is confidential and is only supplied to the company for which you are applying for credit.  This also authorizes companies to FAX back their reply to us.
Bank Name: Account Number:
By submitting this application you agree to authorize the release of credit information for the purpose of obtaining credit terms and that you have read, understand, and agree to the Cargo Services Express, Inc. terms and conditions for service available for viewing at WWW.CARGOSERVICESEXPRESS.COM or by Fax upon request.
By typing your name in this box you are signing this application.

Officer Signature:

Print Name: Title:

Forms may be emailed to accounting@cargoservicesexpress.com

 

Copyright © 2001 Cargo Services Express, Inc. All rights reserved.
Revised: 02/21/08.