COMPANY QUICK REVIEW

Size: px
Start display at page:

Download "COMPANY QUICK REVIEW"

Transcription

1

2 COMPANY QUICK REVIEW We are a Freight Company specializing in serving customers to and from Laredo, Texas with equipment available all along the NAFTA Corridor. Our focus is on maximizing speed, flexibility and transparency, allowing our customers to have greater control and minimizing distractions while increasing efficiency in their logistics needs. OUR SERVICES We are here to serve you, you can count on us to get the best option for your logistics needs 24/7! We have plenty of expertise in all types of services, beyond Dry Van, Flatbeds, Reefers or LTL loads, we can assist customers with: Premium, Volume Quote/Partial Shipments, Fragile Cargo, Haz-Mat, Out Of Gauge, Heavy Loads, Hand Carry, Hot Shots, Multi-Stops, Tradeshow Deliveries, High Value and more, for quotes just us at usa@ep-america.com or canada@ep-america.com. We will be glad to assist you! FAST FACTS Ep America is an established company, part of Ep Group with 14 years in the international market. We have established 20 offices strategically around USA, Canada, Mexico, Latin America (Chile, Colombia, Panamá, Costa Rica and Guatemala) and Europe so we can cover all your logistics needs. Ep America is the go-to company for Laredo and Mexico, Less than Truckload, Full Truckload, Straight Truck, Sprinter, Flatbed and Heavy Haul. We guarantee through a single call, access to our core strengths of hundreds of transportation companies all at the same time. We are in a community of more than 600 commercial partners. 24/7/365 availability of more than 40,000 registered units in our Expedited Services. Commitment to deliver automotive units to Midwest in 95% of cases within 3 to 3.5 hours using Hotshot service. Satellite link and mapping of units in USA and Canada available. Some of our customers are Nissan, Hitachi, Eurocopter, ThyssenKrupp and others. Your Fast, Friendly, Dedicated and Reliable link to Mexico. EP AMERICA WAY TO WORK We take pride in our prompt response time and customer service. We hope your company s business model will allow you to take advantage of our service and support. READY TO MAKE A GREAT DECISION? BECOME OUR PARTNER! Please fill out and submit our New Customer Registration form attached along with required documentation to your EP America Freight Specialist or to usa@ep-america.com or canada@ep-america.com When applying for credit terms, please fill out and sign our credit application form, or If you have a prefilled template, simply add it to the signed application form and send it to your EP America representative. Upon credit check completion, you will receive a credit approval notification. We look forward to working with your company!

3 TEMPLATE Rev No. Form Version Created On: October 2013 New Customer Register Form Form Version Reviewed On: November 2013 Registration Date: Page 1 of 1 CUSTOMER INFORMATION Full SIC Code: Doing Business As (If applies): COMPANY ADDRESS Main Address (Not a P.O. Box): City: Post Code: State: Country: Phone: Website: EIN #: CONTACT INFORMATION Account Payables Job Title Phone and Ext. Branch Others Job Title Phone and Ext. Branch SPECIAL REQUIREMENTS / INSTRUCTIONS FOR USE OF EP AMERICA STAFF ONLY Sales Rep: Operations Agent: Type of Account: Customer ID

4 Rev No. Form Version Created On: October 2013 Form Version Reviewed On: November 2013 Page 1 of 1 Credit Application Form COMPANY DETAILS Full Doing Business As (If applies): SIC Code: Main Address (Not a P.O. Box): City: Post Code: State: Country: Phone: Website: Check one: Corporation Sole Proprietorship Partnership Limited Liability Other Duns No. OWNER(S) INFORMATION Name: Ownership% Name: Ownership% OFFICERS INFORMATION President / CEO Vice President / Secretary Vice President / Secretary BANK REFERENCES Bank Name: Bank Name: CREDIT TRADE REFERENCES Credit Amount Requested ($) Credit Days Requested Credit Terms Full Full Full INV I hereby authorize our banks, trade references and financial institutions to release credit information to Ep America and further authorize Ep America to obtain other credit information, including consumer credit bureau reports for individuals responsible for the business debt (such as sole proprietors of a small business and any general partners of a partnership) and to release same to other institution for credit evaluation purposes. I further certify the information provided in this application to be true and correct to the best of my knowledge. Print Name and Signature Date The Federal Equal Credit Opportunity Act prohibits creditor from discriminating against applicants on the basis of race, color, religion, national origin, sex, marital status, age or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. If your application for credit is denied, you can request a statement of the specific reasons for the denial within 60 days of being notified of the denial by calling the specific regional phone number listed at the top of this application. The federal agency that administers compliance with this law is the Federal Trade Commission, Equal Credit opportunity Washington, DC 20560

5 Dear Customer, Please find hereby Ep America Inc. bank account details: Bank name: Account #: Routing #: Swift: Wire Transfer Routing # Wells Fargo Bank, N.A. Niles 5640 West Touhy Avenue Niles, IL WFBIUS6S Our billing may reflect our Chicago or Houston office, but please note our remittance address remains as follows: Ep America, Inc W. Lawrence Ave. Suite 314 Schiller Park, IL Ph. +1 (847) ext 156 Fx. +1 (855) At n: Accounts Receivables receivables@ep-america.com Acceptable payment methods: Check Wire transfer Ach Credit card, with a 4% fee nationwide and for international cards rate may vary.

COMPANY QUICK REVIEW

COMPANY QUICK REVIEW COMPANY QUICK REVIEW We are an International Freight Company specializing in serving customers to and from Laredo, Texas with equipment available all along the NAFTA Corridor. Our focus is on maximizing

More information

Credit Application/Policy [rev 08/01/2011]

Credit Application/Policy [rev 08/01/2011] Credit Application/Policy [rev 08/01/2011] TO: Geaux Geaux Railroad (GOGR), a Watco Company, (WATCO) FROM: Applicant (herein below called: the Customer ) Customer herein applies for the extension of credit

More information

PLEASE. To Process your Application we must have the following:

PLEASE. To Process your Application we must have the following: PLEASE To Process your Application we must have the following: Complete and return the entire application. An Owner/Principle/Officer must sign. Please include a copy of Photo ID for the parties signing

More information

Credit Application/Policy [rev 06/01/2006]

Credit Application/Policy [rev 06/01/2006] Credit Application/Policy [rev 06/01/2006] TO: South Kansas & Oklahoma Railroad (SKOL), a Watco Company, (WATCO) FROM: Applicant (herein below called: the Customer ) Customer herein applies for the extension

More information

LEGACY BANK BUSINESS CREDIT APPLICATION

LEGACY BANK BUSINESS CREDIT APPLICATION LEGACY BANK BUSINESS CREDIT APPLICATION I certify that this application is for: individual credit - without a co-borrower or guaranty of another person or entity* joint credit - with a person or entity

More information

Milestone AV Technologies LLC Corporate Address: 6436 CITY WEST PKWY., EDEN PRAIRIE, MN USA

Milestone AV Technologies LLC Corporate Address: 6436 CITY WEST PKWY., EDEN PRAIRIE, MN USA Milestone AV Technologies LLC Corporate 6436 CITY WEST PKWY., EDEN PRAIRIE, MN 55378 USA ACCOUNT REQUIREMENTS W MILESTONE.COM REQUIREMENTS 1. Complete Account Application. PLEASE PRINT CLEARLY & LEGIBLY

More information

J.B. Hunt Transport Services, Inc. 3Q 2015 Results

J.B. Hunt Transport Services, Inc. 3Q 2015 Results J.B. Hunt Transport Services, Inc. 3Q 2015 Results Disclosure This presentation and discussion may contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act

More information

*** N E W O P E N A C C O U N T A P P L I C A T I O N * * *

*** N E W O P E N A C C O U N T A P P L I C A T I O N * * * *** N E W O P E N A C C O U N T A P P L I C A T I O N * * * Are you applying for a Business Account or Personal Account? To expedite the processing of your application please include copies of all documents

More information

Carrington Mortgage Services, LLC

Carrington Mortgage Services, LLC Dear Mortgagor(s), Carrington Mortgage Services, LLC ( we, us or CMS ) offers you the option to automatically make your mortgage payments each month by having us debit an account you designate on the eligible

More information

CREDIT APPLICATION. On behalf of Lodge Lumber Company, Inc., I would like to thank you for your interest in doing business with our company.

CREDIT APPLICATION. On behalf of Lodge Lumber Company, Inc., I would like to thank you for your interest in doing business with our company. Page 1 CREDIT APPLICATION On behalf of Lodge Lumber Company, Inc., I would like to thank you for your interest in doing business with our company. Along with this letter is a copy of our Credit Application.

More information

Credit Application. Doing Business as (DBA), if different from legal name. Physical Address {Street Required) City State Zip

Credit Application. Doing Business as (DBA), if different from legal name. Physical Address {Street Required) City State Zip CORPORATE OFFICE: 505 Murry Rd. SE Albuquerque, NM 87105 Office: (505) 877-1100 Fax: (505) 877-6900 Company Information Company's Legal Name MARKS CRANE & R IGGING 6501 E I H 20, Odessa, TX 79762 Office:

More information

Wholesale Financing Options for a Competitive Advantage

Wholesale Financing Options for a Competitive Advantage Wholesale Financing Options for a Competitive Advantage With a wholesale financing program through Doosan Global Finance, Doosan dealers automatically get a competitive advantage by having more equipment

More information

C.O.D. Enhancement Programs Enrollment and Authorization Form

C.O.D. Enhancement Programs Enrollment and Authorization Form C.O.D. Enhancement Programs Enrollment and Authorization Form In order to participate in any one or more of the C.O.D. Direct SM Program, C.O.D. Automatic Program, C.O.D. Secure Program, or C.O.D. Delayed

More information

Caterpillar Financial Transfer & Assumption Checklist Current as of June 2012

Caterpillar Financial Transfer & Assumption Checklist Current as of June 2012 Caterpillar Financial Transfer & Assumption Checklist Current as of June 2012 Please initial that you have addressed and/or included each of the items outlined below: Item Needed from Current Customer:

More information

PROFESSIONAL PRACTICE GROUP APPLICATION

PROFESSIONAL PRACTICE GROUP APPLICATION 234 W. Northwest Highway Arlington Heights, IL 60004 847-670-1000 PROFESSIONAL PRACTICE GROUP APPLICATION Name: Professional Degree/Dates: License # Are you qualified as a specialist? If yes, what specialty?

More information

Spearfish Economic Development Corporation Community Capital Revolving Loan Fund. Application Information

Spearfish Economic Development Corporation Community Capital Revolving Loan Fund. Application Information Spearfish Economic Development Corporation Community Capital Revolving Loan Fund Application Information SEDC Revolving Loan Fund Application Information Spearfish Economic Development is a private non-profit

More information

J.B. HUNT Q RESULTS. Presented by

J.B. HUNT Q RESULTS. Presented by J.B. HUNT Q3 2017 RESULTS Presented by C O N F I D E N T I A L 1 DISCLOSURE This presentation and discussion may contain forward-looking statements within the meaning of the Private Securities Litigation

More information

SMALL BUSINESS LOAN APPLICATION PACKAGE

SMALL BUSINESS LOAN APPLICATION PACKAGE 1 SMALL BUSINESS LOAN APPLICATION PACKAGE Thank you for considering Carolina Small Business Development Fund for your small business loan. To assist us in processing your request in an efficient manner,

More information

WORLDWIDE EXPRESS TRUCKLOAD

WORLDWIDE EXPRESS TRUCKLOAD WORLDWIDE EXPRESS TRUCKLOAD 2017 Worldwide Express is your full-service FTL service provider, with offices across the nation available to help you identify the right solution at the right price, letting

More information

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE = By checking this box and submitting this form, in connection with this loan application and any update, extension or modification, the undersigned authorizes the Lender to make all inquiries it deems

More information

West River Revolving Loan Fund. Application Information

West River Revolving Loan Fund. Application Information West River Revolving Loan Fund Application Information Revised 2/17/2011 West River Revolving Loan Fund Application Information The West River Foundation, Inc., a private non-profit corporation, governs

More information

ELKHART COOPERATIVE EQUITY EXCHANGE CREDIT APPLICATION. Personal Information Individual or Company Name Date of Birth

ELKHART COOPERATIVE EQUITY EXCHANGE CREDIT APPLICATION. Personal Information Individual or Company Name Date of Birth ELKHART COOPERATIVE EQUITY EXCHANGE CREDIT APPLICATION Personal Information Individual or Company Name Date of Birth Social Security Number or Fed Tax ID # Street Address City State Zip Home Phone Number

More information

Dear Transportation Manager:

Dear Transportation Manager: Dear Transportation Manager: As the transportation manager, I am sure you are always looking for qualified help moving your freight. We, at ST Freight, LLC are eager to show you the advantages we offer

More information

Tax Services. To see if you qualify for these products, you agree to do the following steps

Tax Services. To see if you qualify for these products, you agree to do the following steps Tax Services Tax Services Agreement This Agreement represents Taxpayer s authorization for A+ Tax Services, a registered trade name of (A+ Bookkeepers, Inc.,) to take the following actions: (1) Complete

More information

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE By checking this box and submitting this form, in connection with this loan application and any update, extension or modification, the undersigned authorizes the Lender to make all inquiries it deems necessary

More information

Loan Application Checklist

Loan Application Checklist If you have questions or need assistance completing the application, please contact the Community Economic Development Department at 260-423-3546 ext. 563 Loan Application Checklist For All Loans Signed

More information

VISA BUSINESS CREDIT CARD APPLICATION

VISA BUSINESS CREDIT CARD APPLICATION E UMB i1510018 (R 09/10) It s easy to Apply. VISA BUSINESS CREDIT CARD APPLICATION Incomplete information may cause delays. Please complete in full. Fax to 816.860.3152 or email to corebankcommericalcard@umb.com

More information

2. Sign and date the Authorization and Release forms (section 12 on the application). If there are coapplicants,

2. Sign and date the Authorization and Release forms (section 12 on the application). If there are coapplicants, P. O. Box 445 Troy, MO 63379 636 528 4112 www.habitatlincolnco.org Dear Applicant: Thank you for your interest in Lincoln County MO Habitat for Humanity. Please return the enclosed application form and

More information

2510 Texas Ave. Lubbock, Texas Phone: Fax:

2510 Texas Ave. Lubbock, Texas Phone: Fax: SCMI welcomes your interest in becoming an approved carrier. We are confident that you will find SCMI an easy company to do business with. The attached Carrier Sign Up packet contains 9 pages of SCMI information

More information

Switch Kit Checklist. Remember, East Idaho Credit Union is here to assist every step of the way. Stop by your local EICU branch today and let us help.

Switch Kit Checklist. Remember, East Idaho Credit Union is here to assist every step of the way. Stop by your local EICU branch today and let us help. Switch Kit Checklist Switching your automatic payment and withdrawals from your old financial institution to your new East Idaho Credit Union account is easier than you think. Sim[ply follow these three

More information

Name Social Security No. Last First Middle Address. State, Zip Phone Zip ADDRESS. How Long. Do you have the legal right to work in the United States

Name Social Security No. Last First Middle Address. State, Zip Phone Zip ADDRESS. How Long. Do you have the legal right to work in the United States Arkansas Equipment Leasing Application P.O. Box 905 Mabelvale, AR 72103 In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without

More information

Solar Loan Program Commercial Loan Application Coversheet READ BEFORE COMPLETING APPLICATION

Solar Loan Program Commercial Loan Application Coversheet READ BEFORE COMPLETING APPLICATION Solar Loan Program Commercial Loan Application Coversheet READ BEFORE COMPLETING APPLICATION All applications are subject to the Program Rules and Application Process (the Rules ) which can be found at

More information

Business Convenience Credit Application

Business Convenience Credit Application Application ID Business Convenience Credit Application Convenience Line of Credit or Overdraft Protection Line of Credit Apply today for your business credit needs: 1. Complete this application with blue

More information

For Administrative Use Only

For Administrative Use Only P. O. BOX 8 BISBEE, NORTH DAKOTA 58317-0008 (701) 656-3263 1-800-450-3263 FAX (701) 656-3371 $ Please Indicate Amount of Credit Request. APPLICATION FOR OPEN ACCOUNT CREDIT (BUSINESS/AGRICULTURAL) For

More information

4-H CLUB TREASURER S RECORD BOOK

4-H CLUB TREASURER S RECORD BOOK 4-H CLUB TREASURER S RECORD BOOK Name of Club: County: Year: Officers: President: Vice President: Secretary: Treasurer: Other: 4-H TREASURER Congratulations on your new responsibility as 4-H treasurer.

More information

Business Loan Application

Business Loan Application Business Loan Application Business Name (exact legal name): General Information DBA (if applicable): Street Address of Principal Registered Office: City: State: Zip Code: County: Current Mailing Address

More information

Q4 Articulated Truck Sales Promotion Date: 10/01/11-12/31/11 Program #: ARTIC

Q4 Articulated Truck Sales Promotion Date: 10/01/11-12/31/11 Program #: ARTIC Q4 Articulated Truck Sales Promotion Date: 10/01/11-12/31/11 Program #: ARTIC 100111 No Distributor Participation Required. Subsidized Financing Low-rate financing on deals invoiced to customer and on-order

More information

CF LOGISTICS LLC. PO Box 686, Avondale, PA Phone: Fax:

CF LOGISTICS LLC. PO Box 686, Avondale, PA Phone: Fax: CF LOGISTICS LLC Form DQ-Cover1 Thank you for your interest in becoming a Professional CDL Driver with CF Logistics LLC We understand that the information you provide us on this application is very sensitive

More information

Attorney Credit Application Package

Attorney Credit Application Package Attorney Credit Application Package 320 Old Country Rd., Ste 101 Attorney Credit Application (Please type or print all information. Answers requiring additional space submitted on separate pages.) Firm

More information

MC DATH

MC DATH Carrier Profile Corporate Name: Dalor Transit, Inc. Established: 1976 Federal Employer Identification: 39-1332520 ICC Identification: MC 147312 US DOT Number: 168179 SCAC Identification Code: DATH Address:

More information

For Administrative Use Only

For Administrative Use Only P. O. BOX 8 BISBEE, NORTH DAKOTA 58317-0008 (701) 656-3263 1-800-450-3263 FAX (701) 656-3371 $ Please Indicate Amount of Credit Request. APPLICATION FOR OPEN ACCOUNT CREDIT (NON-BUSINESS) For Administrative

More information

Fax: (905) Phone:

Fax: (905) Phone: Please fax or email your completed account application to: DRIVE MEDICAL CANADA Fax: (905) 787-8550 Phone: 866-752-1363 Email: canadacustomerservice@drivemedical.com * Be Sure to Include Your Sales Representatives

More information

PLEASE SEND IMMEDIATELY VIA FAX OR THE FOLLOWING: Fax:

PLEASE SEND IMMEDIATELY VIA FAX OR  THE FOLLOWING:   Fax: Valued Carrier Partner: We look forward to the opportunity to working with you and your trucks! Please review and complete the attached forms. The information on the carrier profile will allow us to better

More information

Business Loan Application Packet

Business Loan Application Packet Business Loan Application Packet Application Personal Financial Statement On each individual co-borrower/guarantor. Tax Returns and all Schedules We will need two years of tax returns on each individual.

More information

Werner Enterprises Reports Improved First Quarter 2015 Revenues and Earnings

Werner Enterprises Reports Improved First Quarter 2015 Revenues and Earnings NEWS RELEASE Werner Enterprises Reports Improved First Quarter 2015 Revenues and Earnings 4/22/2015 OMAHA, Neb.--(BUSINESS WIRE)--Apr. 22, 2015-- Werner Enterprises, Inc. (NASDAQ: WERN), one of the nation's

More information

LET US DO THE HEAVY LIFTING

LET US DO THE HEAVY LIFTING INSTALLATION + DISMANTLE LET US DO THE HEAVY LIFTING Freeman specialists are ready to assist you with all of your exhibit requests, from beginning to end. And when it comes to installing and dismantling

More information

Economic Development (Gap) Financing. Additional application requirements:

Economic Development (Gap) Financing. Additional application requirements: 1 CITY OF KALISPELL Revolving Loan Fund Loan Application Economic Development (Gap) Financing Application fee of $200.00 payable to City of Kalispell must be attached The purpose of the Economic Development

More information

Provide Details of Your Credit Relationships Name of Creditor Type of Loan Original Amount Balance Owing Monthly payment Note Date Maturity Date

Provide Details of Your Credit Relationships Name of Creditor Type of Loan Original Amount Balance Owing Monthly payment Note Date Maturity Date HANMI BANK MEMBER FDIC Loan Application Applicant: (Complete legal name under which tax returns are filed. If married, Applicant may apply for a separate account.) Credit decisions are subject to a complete

More information

SERVICES USA. Contents: Requirements Checklist: Application Shipping Schedule Disclosure Page Credit Card Authorization Terms & Conditions

SERVICES USA. Contents: Requirements Checklist: Application Shipping Schedule Disclosure Page Credit Card Authorization Terms & Conditions SERVICES USA CUSTOMER APPLICATION Contents: Application Shipping Schedule Disclosure Page Credit Card Authorization Terms & Conditions Requirements Checklist: Complete pages 2 5 and return Return copy

More information

NEW CUSTOMER SETUP All fields must be filled out, any supporting documents must be forwarded with request form. City: State: Zip:

NEW CUSTOMER SETUP All fields must be filled out, any supporting documents must be forwarded with request form. City: State: Zip: Palletized Trucking Inc. Accounting PO Box 8744 Houston, TX 77249 8744 713 225 3303 NEW CUSTOMER SETUP All fields must be filled out, any supporting documents must be forwarded with request form CUSTOMER

More information

00 Apply Online. This application overview will help you understand what information we will collect in order to process your application.

00 Apply Online. This application overview will help you understand what information we will collect in order to process your application. LOAN APPLICATION 00 Apply Online You may also submit your loan application and supporting documentation online. Visit www.nybdc.com or www.the504company.com and click Apply to be taken to our secure online

More information

Standard Credit Package Attn: Brenda Koch Ph.:

Standard Credit Package Attn: Brenda Koch Ph.: Standard Credit Package Attn: Brenda Koch Ph.: 281.597.5479 In order to expedite your request, please include the following: 1. A completed and signed credit application. If you have your credit information

More information

Commercial Loan Application

Commercial Loan Application Commercial Loan Application loans, credit lines, checking whatever it takes... plus someone who makes your business, their business. Loan Requested Term Loan or Real Estate Loan New/Increase Line of Credit

More information

Kemba Commercial Loan Application

Kemba Commercial Loan Application Kemba Commercial Loan Application GENERAL BUSINESS INFORMATION Applicant: DBA: Business Address: Business Phone: Legal Status:! Individual(s)! Corporation (C Corp)! LLC! LP/LLP! S Corp! Other: Date Founded:

More information

Request for Redetermination of Medicare Prescription Drug Denial

Request for Redetermination of Medicare Prescription Drug Denial Request for Redetermination of Medicare Prescription Drug Denial Because we, Allwell, denied your request for coverage of (or payment for) a prescription drug, you have the right to ask us for a redetermination

More information

Home Repair Application

Home Repair Application Home Repair Application Mailing Address: PO Box 516 Gallatin, TN 37066 Phone: (615) 452-9606 This application is for residents of Sumner County, Tennessee only. We are pledged to the letter and spirit

More information

MEMBER BUSINESS LOAN APPLICATION INSTRUCTIONS

MEMBER BUSINESS LOAN APPLICATION INSTRUCTIONS MEMBER BUSINESS LOAN APPLICATION INSTRUCTIONS Industrial Credit Union is committed to reviewing your financing request and providing you with a decision as quickly as possible. To help us work through

More information

FEB 20, 2019 INVESTOR PRESENTATION C.H. Robinson Worldwide, Inc. All Rights Reserved.

FEB 20, 2019 INVESTOR PRESENTATION C.H. Robinson Worldwide, Inc. All Rights Reserved. FEB 20, 2019 INVESTOR PRESENTATION S A F E H A R B O R S TAT E M E N T Except for the historical information contained herein, the matters set forth in this presentation and the accompanying earnings release

More information

On-Bill Financing Application

On-Bill Financing Application 2010 2012 On-Bill Financing Application This On-Bill Financing (OBF) Application, along with an Incentive Application (defined herein) must be submitted and approved prior to purchasing or installing your

More information

PRINCIPAL OWNERS & OFFICERS. Name SS# Position or Title Full Time Part Time

PRINCIPAL OWNERS & OFFICERS. Name SS# Position or Title Full Time Part Time Customer Application Please print or type answers to the questions and place in enclosed reply envelope. Resale Certificate No. Office Use Only DC No. CN No. Firm Name Telephone Number E-Mail ( ) Street

More information

U.S. HIGHBUSH BLUEBERRY COUNCIL

U.S. HIGHBUSH BLUEBERRY COUNCIL MEMO U.S. HIGHBUSH BLUEBERRY COUNCIL 1847 Iron Point Road, Suite 100, Folsom, California 95630 Phone (916) 983-0111 Fax (916) 983-9022 Web Site: www.blueberry.org To: All Cultivated Blueberry Growers From:

More information

WAREHOUSE LINE APPLICATION 1 COMPANY INFORMATION (MAIN OFFICE OR PARENT COMPANY) 2 CORPORATE FILING INFORMATION

WAREHOUSE LINE APPLICATION 1 COMPANY INFORMATION (MAIN OFFICE OR PARENT COMPANY) 2 CORPORATE FILING INFORMATION WAREHOUSE LINE APPLICATION 1 COMPANY INFORMATION (MAIN OFFICE OR PARENT COMPANY) Business Name: Company Contact Doing Business As: Contact Phone Number: Physical Address (Cannot be a PO Box) City, State,

More information

On-Bill Financing Application Third Party Implementer

On-Bill Financing Application Third Party Implementer 2010 2012 On-Bill Financing Application Third Party Implementer This On-Bill Financing (OBF) Application for SCE Third Party Projects, along with a Project Feasibility Study must be submitted and approved

More information

LOAN APPLICATION P.O. BOX 1138, HUNTSVILLE, AR OFFICE: FAX:

LOAN APPLICATION P.O. BOX 1138, HUNTSVILLE, AR OFFICE: FAX: LOAN APPLICATION P.O. BOX 1138, HUNTSVILLE, AR 72740 OFFICE: 479.738.1585 FAX: 479.738.6288 FORGE@forgefund.org Please take your time filling out this application. If you need help, please contact FORGE

More information

EDDIE JAIMES TRUCKING USA INC. CARRIER SET UP

EDDIE JAIMES TRUCKING USA INC. CARRIER SET UP EDDIE JAIMES TRUCKING USA INC. CARRIER SET UP MC # 209880 Phone: 956-541-8500 Fax: 956-541-3435 OLMITO, TX 78575 Send completed packets via fax or email to: accounting@eddiejaimes.com EDDIE JAIMES TRUCKING

More information

COMMERCIAL CREDIT APPLICATION

COMMERCIAL CREDIT APPLICATION COMMERCIAL CREDIT APPLICATION DATE COMPLETE LEGAL NAME OF BUSINESS DBA NAME OF PARENT COMPANY (if applicable) BILLING ADDRESS STREET ADDRESS PHONE NUMBER CELL E-MAIL ADDRESS FAX NUMBER CONTRACTORS LICENSE

More information

WERNER ENTERPRISES INC

WERNER ENTERPRISES INC WERNER ENTERPRISES INC FORM 10-Q (Quarterly Report) Filed 05/04/15 for the Period Ending 03/31/15 Address 14507 FRONTIER ROAD OMAHA, NE 68138 Telephone 4028956640 CIK 0000793074 Symbol WERN SIC Code 4213

More information

Q4 Material Handlers Sales Promotion Date: 10/01/11-12/31/11 Program #: FUCHS

Q4 Material Handlers Sales Promotion Date: 10/01/11-12/31/11 Program #: FUCHS Q4 Sales Promotion Date: 10/01/11-12/31/11 Program #: FUCHS 100111 No Distributor Participation Required. Machine Warranty Machine warranty on all Terex Fuchs * shipped by 12/31/11 and funded between 10/01/11

More information

Property Information:

Property Information: For Office Use Only CUST ID: SALES ID: TM NAME: MG Code: 6186 INTERNAL ID: Guest Supply, LLC Guest Packaging Date of Application Name of Person Completing Application Title Property Information: Name of

More information

Application for Employment

Application for Employment Application for Employment The Plains State Bank is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, religion, sex, ancestry,

More information

OVERVIEW TOP 24/7 CREDIT RATING 15,000+ APPROVED MOTOR CARRIERS CLIENT SUPPORT 1%

OVERVIEW TOP 24/7 CREDIT RATING 15,000+ APPROVED MOTOR CARRIERS CLIENT SUPPORT 1% OVERVIEW 24/7 TOP CLIENT SUPPORT 1% CREDIT RATING 15,000+ APPROVED MOTOR CARRIERS ABOUT US Founded in 2005, D&L Transport is a leading transportation brokerage company offering exceptional freight brokerage

More information

Commercial Laundry Credit Application

Commercial Laundry Credit Application Commercial Laundry Credit Application Customer Information Business (correct legal name): Trade Name (if applicable) Business Mailing Address: (street) (city) (County) (State) (zip) Business Telephone

More information

CREDIT APPLICATION. Year Business Started: Annual Revenues in Most Recent Year Average Split % # of Employees

CREDIT APPLICATION. Year Business Started: Annual Revenues in Most Recent Year Average Split % # of Employees CREDIT APPLICATION CUSTOMER INFORMATION: Business Type: (check one) Proprietorship Corporation LLC Partnership FED ID# - _ State Industry: (check one) Amusement (Route) Amusement (FEC, Arcade) Vending

More information

Zionsville Micro Loan Program

Zionsville Micro Loan Program Zionsville Micro Loan Program A Program of the Zionsville Redevelopment Commission Overview The Zionsville Micro Loan Program is a unique financial tool available to small businesses in the Zionsville

More information

FINANCING CHECKLIST The following guidelines are provided to facilitate the review of your aircraft financing request.

FINANCING CHECKLIST The following guidelines are provided to facilitate the review of your aircraft financing request. Page 1 of 6 FINANCING CHECKLIST The following guidelines are provided to facilitate the review of your aircraft financing request. These items are guidelines only; additional items may be required pending

More information

Background Report Dispute

Background Report Dispute Dear Consumer: In order for us to proceed with the reinvestigation of your dispute you must complete and return the following paperwork along with a clear copy of a government issued photo identification

More information

PLEASE. To Process your Application we must have the following:

PLEASE. To Process your Application we must have the following: PLEASE To Process your Application we must have the following: Complete and return the entire application. An Owner/Principle/Officer must sign. Please include a copy of Photo ID for the parties signing

More information

Small Business Loan Checklist (Loan Exposure up to $500,000 (1) )

Small Business Loan Checklist (Loan Exposure up to $500,000 (1) ) Small Business Loan Checklist (Loan Exposure up to 500,000 (1) ) Please complete, sign and date all documentation and financial information and submit a complete loan package to prevent any unnecessary

More information

Regulatory Update OLA Fall Meeting. Suzanne Garwood

Regulatory Update OLA Fall Meeting. Suzanne Garwood Regulatory Update OLA Fall Meeting Suzanne Garwood sgarwood@venable.com 202-344-8046 1 Regulated Issues Advertising Credit Denial Electronic Payments Customer Data Security 2 3 ADVERTISING Advertising

More information

USA Truck, Inc. (NASDAQ: USAK) Investor Presentation February 2016

USA Truck, Inc. (NASDAQ: USAK) Investor Presentation February 2016 USA Truck, Inc. (NASDAQ: USAK) Investor Presentation February 2016 DISCLOSURE STATEMENT This presentation and accompanying comments may contain forward-looking statements within the meaning of Section

More information

EXPEDITE VAN/SPRINTER DRIVER. Requirements. Pay

EXPEDITE VAN/SPRINTER DRIVER. Requirements. Pay G5 Logistics - Using our God given talents and abilities to build a transportation company that our clients can trust. G5 Logistics PO Box 29 Bargersville, IN 46106 Office 317-522-2555 Fax 317-522-2556

More information

INVESTMENT HIGHLIGHTS (NASDAQ GS: CVTI)

INVESTMENT HIGHLIGHTS (NASDAQ GS: CVTI) Stifel February 2018 DISCLOSURE STATEMENT Forward-Looking Statements This presentation and discussion includes forward-looking statements within the meaning of Section 21E of the Securities Exchange Act

More information

Supplier Application PART 1 of 3

Supplier Application PART 1 of 3 Supplier Application PART 1 of 3 Daytona State College must have accurate and complete supplier information on file in order to generate a purchase order and facilitate prompt payment. Please complete

More information

Doing Business in Latin America. - an Underwriter s personal view

Doing Business in Latin America. - an Underwriter s personal view Doing Business in Latin America - an Underwriter s personal view Chartis 2012 Ease of Doing Business 2012 World Bank Ranking Economy 2012 Ranking Ease of Doing Business Singapore 1 Chile 39 Peru 41 Colombia

More information

City of Tacoma Environmental Services

City of Tacoma Environmental Services The City of Tacoma offers low-interest loans with terms of up to 10 years for residential sewer and storm water conservation projects. Eligibility Please note: You must apply and be approved before the

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION IMPORTANT INFORMATION: Federal law under the USA Patriot Act requires us to obtain sufficient information to verify your identity. You may be asked several questions and to provide

More information

PREVIOUS THREE YEARS RESIDENCY # OF YEARS:

PREVIOUS THREE YEARS RESIDENCY # OF YEARS: DATE: / / APPLICATION FOR EMPLOYMENT AO EXPRESS INC 200 N PHILIPS AVE STEL104 SIOUX FALLS, SD 57104 Office Use Only Interview Date: / / Hire Date: / / Start Date: / / NAME: (FIRST) (MIDDLE) (LAST) ADDRESS:

More information

To Apply for Residency:

To Apply for Residency: To Apply for Residency: Complete Fillable Form on Website EMAIL TO: willowpond@flynnmanagement.com FAX TO: 386 676 0752 MAIL OR HAND DELIVER TO: Willow Pond Apartments Leasing Office 875 Wilmette Ave.

More information

REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax:

REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: Medicare Part D Prior Authorization Department P.O. Box 419069 Rancho Cordova, CA 95741

More information

Alacrity Logistics Inc.

Alacrity Logistics Inc. Alacrity Logistics Inc. 1568 53 rd Street Brooklyn NY 11219 (347) 878 2561 Info@alacritylogistics.com Customer Packet Alacrity Logistics Inc. The expert of experts in shipping SWIFT PROMPT RELIABLE THE

More information

Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need.

Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need. Mailing Address :- PO Box 4 Syosset, NY, 11791. Phone :- 716-337-5000/516-874-0909. Fax :- 716-772-3383 Website :- www.alg.us.com Corporate HQ:- 68 S Service Suite #100, Melville, NY, 11747. (A freight

More information

5Star Submission Checklist & Questionnaire Trucking Program

5Star Submission Checklist & Questionnaire Trucking Program 5Star Submission Checklist & Questionnaire Trucking Program Agency Helpline ~ 877-247-9772 No coverage is effective until approved by the General Agent Send submissions to: FLORIDA 158 N. Harbor City Blvd,

More information

Landstar System, Inc. Earnings Conference Call Second Quarter 2018

Landstar System, Inc. Earnings Conference Call Second Quarter 2018 DESIGNED TO RESPOND BUILT TO DELIVER Landstar System, Inc. Earnings Conference Call Second Quarter 2018 July 25, 2018 The following is a safe harbor statement under the Private Securities Litigation Reform

More information

WestWind Logistics, LLC

WestWind Logistics, LLC WestWind Logistics, LLC 1658 E Euclid Ave, Des Moines, IA 50313 (866) 455-1082 READ AND SIGN BEFORE SUBMITTING APPLICATION FOR QUALIFICATION I understand that the information in the Application for Qualification

More information

USA PATRIOT ACT INFORMATION DISCLOSURE Important Information about Application Procedures

USA PATRIOT ACT INFORMATION DISCLOSURE Important Information about Application Procedures USA PATRIOT ACT INFORMATION DISCLOSURE Important Information about Application Procedures To help the government fight the funding of terrorism and money laundering activities, Federal Law requires all

More information

APPLICANT Full Name (Last) (First) (Ml) Date of Birth Home Phone Number ( ) Cell Phone Number ( ) Work Phone Number ( ) Area Code

APPLICANT Full Name (Last) (First) (Ml) Date of Birth Home Phone Number ( ) Cell Phone Number ( ) Work Phone Number ( ) Area Code Application for Residency Hunter Lafayette Properties (Every additional live-in resident over the age of 18 as of the lease commencement date must submit a separate application and sign the lease) APPLICANT

More information

Investor Presentation. February 2018

Investor Presentation. February 2018 Investor Presentation February 2018 Disclaimer and Forward-Looking Statements Special Note Regarding Forward-Looking Statements This presentation, and certain information that management may discuss in

More information

AUTHORIZATION TO RECEIVE DOCUMENTS ELECTRONICALLY

AUTHORIZATION TO RECEIVE DOCUMENTS ELECTRONICALLY AUTHORIZATION TO RECEIVE DOCUMENTS ELECTRONICALLY ELECTRONIC DOCUMENT DELIVERY I/We hereby authorize East Star Mortgage to send my mortgage loan documents, including the initial mortgage loan disclosures,

More information

BUSINESS CREDIT APPLICATION

BUSINESS CREDIT APPLICATION BUSINESS CREDIT APPLICATION 2601 BROADWAY ST. NE MINNEAPOLIS, MN 55413 ATTN: CREDIT DEPT. (612) 378-0460 EXT. 1402 (800) 677-3673 CREDIT@BOYERTRUCKS.COM 1) COMPANY INFORMATION FULL LEGAL BUSINESS NAME:

More information

APPLICATION FOR EMPLOYMENT *Applicant must complete in his or her own handwriting

APPLICATION FOR EMPLOYMENT *Applicant must complete in his or her own handwriting APPLICATION FOR EMPLOYMENT *Applicant must complete in his or her own handwriting Date of Application / / Social Security Number / / Applicant Name Address City _ State Zip Home Phone Cell Phone Email

More information