In order Business to Business Logistics to familiarize ourselves with your account and establish you as a standing customer in our database we would appreciate your prompt reply to the following form.

    COMPANY INFORMATION

    Who is your Sales Rep?

    Company Name

    Phone

    Fax

    Accounting Contact

    Phone

    Email for Accounting Contact

    Email for Invoicing if different from above

    Transportation Contact

    Phone

    Email for Transportation Contact

    Physical Address

    Billing Address

    Type of Business

    Date Business Established

    No. of Employees

    Federal Tax ID or SSN

    Dunn & Bradstreet #

    Do you need PODs sent with Invoices

    Any other instructions for Invoicing?

    Statements are sent out Bi-Weekly. If there are issues or problems with an invoice, please contact our Accounting Office right away. Christi Johnson 630-246-2611 Ext 231 accounting@shipbtb.com

    Business to Business Logistics will assist you in filing a claim with the carrier if needed, However, we do not pay the claim ourselves.

    TRADE REFERENCES

    Reference #1

    Company Name

    Address

    Phone

    Contact

    Reference #2

    Company Name

    Address

    Phone

    Contact

    Reference #3

    Company Name

    Address

    Phone

    Contact

    In lieu of filling out credit references we will accept your company sheet with references attached. However, all other information must be filled out and Credit Application signed and sent back to BTB Representative.

    BANK REFERENCE

    Bank #1

    Account #

    Address

    Phone

    Contact

    The information provided is for the purpose of obtaining an account and/or establishing credit with Business to Business Logistics. I certify that all information provided is correct. I understand your credit terms require payment within 15 days and agree to comply with those terms. By my signature I am authorizing the release of credit information for the references listed above.

    In the event any third parties are employed to collect any outstanding monies owed by said business the undersigned agrees to pay reasonable collection costs, including attorney fees, whether or not litigation has commenced, and all costs of litigation incurred. The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified.

    Authorized Signature

    Date

    Printed Name

    Title