Credit Application – Atlantic Transportation Services

Atlantic Transportation Services

Phone: 410.406.8100 Email: Support@atlantictransportation.com

Making Logistics Logical Since 1982.

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Credit With Atlantic Transportation Services

Complete and submit application below. Once submitted please allow 24 to 48 hours for us to contact you.

Name

Phone

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Website

Affiliated With

Principle Owners

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

List any specific instructions below including the need for Purchase Orders, extra copies of the invoice, lease and well charges, rig name and number, etc below.

Trade References

Name

Phone

Name

Phone

Name

Phone

Name

Phone

Name

Phone

* If Branch Office

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Should it be necessary to place this account for collection, I/we agree to pay all collection costs and attorney fees. I/We also agree that if part payments are made or no payments are made on the account within the terms specified that you have the right to assess and I/we agree to pay a “finance charge” computed by applying a periodic monthly rate of 1.5% to the past due balance. This is an annual percentage of 18% *I Agree

We hereby apply for the extension of credit by your firm and submit the following information as a basis for your consideration of our application. You are hereby authorized to investigate this information pertaining to our credit and financial responsibility. *I Agree

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