Credit Application | American Freight Factors

NOTE: All fields marked with a red * must be completed to process your application.

Company Name*
FED ID#*
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Fax
Type of business
Names of Officers, Partners or Individuals
Name*
FirstLast
SSN*
Title*
Email*
Spouse*
SSN*
Name
FirstLast
SSN
Title
Spouse
SSN
Type of industry *
Do you broker any loans *
- Yes
- No
Length of Time in Business
Years*
Months*
Banking Information
Bank Reference*
Contact
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
Account #*
Credit References (Preferably in the Transportation Industry)
Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone*
Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
I hereby authorize American Freight Factors or any credit bureau or other investigative agnecy employed by us, to obtain bacnk, vendor, other credit references and personal credit information as deemed necessary to establish credit and financial responsibility. I personally gurantee all debit incurred. I certify that all statements in this application are true and complete. A facsimile copy of this document is considered legally binding.

Names of Officers, Partners or Individuals