Company Name: 

Address:

City:

State:   

Zip:  

Billing Address:

City:

State:   

Zip:  

Telephone:

Fax:

Type of Business:

Corporation 

Partnership

Proprietorship

Line of Business:

Number of Employees:

Fed. I.D. #: 

Year Established:

Estimated Annual Business with Triways

$

Your Annual Sales

$

Line of Credit Requested

$ 

Name of Corp Officer (1)

Title:

Name of Corp Officer (2)

Title:

Name of Corp Officer (3)

Title:

Name of Corp Officer (4)

Title:

Accounting Contact:

References:

Bank Name

Telephone: 

Address:

City:

State:   

Zip:  

Account Officer:

Account #:

Reference Name (1)

Contact:

Telephone:

Fax:

Reference Name (2)

Contact:

Telephone:

Fax:

Reference Name (3)

Contact:

Telephone:

Fax:

Triways Credit Terms:

Terms are net 15 days from date of billing.  Credit privileges subject to immediate suspension or revocation if any undisputed invoices are not paid within 60 days of billing or if balance due at any time exceeds Triways approved credit limits.  In the event that it becomes necessary for Triways to refer to a collection agency and/or attorney, all reasonable legal fees to be paid by debtor.

The undersigned certifies that the information shown above of this application to be true.  Further, I/We authorize Triways to whom this application is submitted, to investigate the reference, statements or other data obtained from me/us or from any other source pertaining to our credit and financial responsibility.

The undersigned further agrees to the above credit terms and such other terms and conditions as are set forth in Triways Air Waybill, Bill of Lading and its published tariff.