Credit Application

CREDIT APPLICATION

CUSTOMER INFORMATION: DATE: ______

Legal Name: ______Year Established: ______

Additional Company Names, Affiliates or Alias ______

Prior Company Names or Affiliates: ______

Financial Officer Name and Title: ______

Name/Title of person who selects transportation vendors: ______

Does your company pay it’s own invoices or does an outside service pay?

Pay own: _____ Outside Service: ______If Service, please name: ______

Billing Address: ______

City, State, Zip: ______

Phone: ______Fax: ______Payables contact: ______

Do you prefer to receive hard copy or email invoices: Hard Copy: ______Email: ______

Email address to send invoices: ______

CREDIT REFERENCES: (Please list transportation companies only)

Name: ______Address: ______

City, State, Zip: ______Contact: ______Phone: ______

1258 Old Alpharetta Road, Alpharetta, GA 30005, Telephone 877-619-5990 BANKING INFORMATION:

CUSTOMER RESPONSIBILITY

Shipments are subject to Weight and Research programs in effect by carrier. Any increase in shipment weight during transit, is subject to additional charges.

LIMIT OF LIABILITY

TRANSPRINT SOLUTIONS, INC. (TSI) normal limit of liability is not to exceed $50.00 for shipments weighing less than 100 pounds and not to exceed carrier published RNVX for shipments weighing more than 100 pounds.

If you would like TSI to be responsible for declared value of shipment, this must be stated in writing and attached to written contract in the form of a rate addendum.

PAYMENT TERMS:

TSI payment terms are net 30 days from date of delivery and party responsible for such payment agrees to pay for any financial expense incurred by TSI to collect any past due amount including, but not limited to the original debt, interest up to the legal limits of the law, attorney fees and any other collection related expenses.

TSI will apply late fees equal to 5% of the total amount on any Invoice unpaid after 45 days.

TSI reserves the right to remove all discounts associated on any Invoice unpaid after 60 days.

The information supplied is known to be true and is provided to TSI for the purpose of obtaining credit.

COMPANY NAME (PURCHASER): ______

SIGNATURE (AUTHORIZED REPRESENTATIVE): ______

PRINTED NAME: ______TITLE: ______DATE: ______

FOR CREDIT APPROVAL RETURN TO: Ken Kinnevy Phone: 678-762-1334 Fax: 866-375-6926

1258 Old Alpharetta Road, Alpharetta, GA 30005, Telephone 877-619-5990