HaulHub Application for Credit

In order for HaulHub 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.

Who is your Sales Rep?

Business 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

Yes No

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. 312-971-2927 accounting@haul-hub.com
HaulHub 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 HaulHub Representative.

Bank Reference

Bank #1

Account #

Address

Phone

Contact

Terms and Condition
Customer hereby agrees that all services, and payment therefor, are subject to the following terms and conditions:
1. Customer certifies that all the information provided for the purpose of obtaining an account and/or establishing credit with HaulHub Inc is correct. By signature, Customer authorizes HaulHub Inc and/or its credit agent(s) to investigate all credit history, bank references and any other information required to process this application and as it deems necessary in the future.
2. Customer agrees that all amounts are due in full, payable Net 30 days from date of invoice. If any amount due is not paid within said period, a delinquency charge of 4 % per week of the delinquent balance shall be added to the amount due.
3. 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.
4. Customer agrees to notify HaulHub Inc. by certified mail of any changes in ownership of Customer and further agrees to be liable for all losses incurred as a result of failure to comply with said notifications.
5. Customer agrees that all services provided to the Customer by HaulHub Inc. shall be governed by and subject to HAULHUB INC., BROKER- CUSTOMER AGREEMENT.
The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified.

Authorized Signature
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Date

Printed Name

Title