Customer Credit Application

  Company Name 

              Address 

                    City    

                   State                       Zip

                 Phone                Fax

                E-Mail  

                          Owner/President  

       Accounts Payable Supervisor  

Paperwork Required For Payment 

                     Bank   

              Account #

                       Rep:

Trade Reference #1

Trade Reference #2

Trade Reference #3

This application for credit, is made by the named company & Carriers World Wide, Inc. The named company agrees to pay all Invoices and  charges within 30 days from the original shipping date. The named company agrees to a service charge of 1&1/2% per month (18% annual rate)  on any overdue balances.  The named company agrees to pay all collection fees & costs including all attorney fees and waives all rights to claim exemptions under state law.