<p> CREDIT APPLICATION</p><p>CUSTOMER INFORMATION: DATE: ______</p><p>Legal Name: ______Year Established: ______</p><p>Additional Company Names, Affiliates or Alias ______</p><p>Prior Company Names or Affiliates: ______</p><p>Financial Officer Name and Title: ______</p><p>Name/Title of person who selects transportation vendors: ______</p><p>Does your company pay it’s own invoices or does an outside service pay?</p><p>Pay own: _____ Outside Service: ______If Service, please name: ______</p><p>Billing Address: ______</p><p>City, State, Zip: ______</p><p>Phone: ______Fax: ______Payables contact: ______</p><p>Do you prefer to receive hard copy or email invoices: Hard Copy: ______Email: ______</p><p>Email address to send invoices: ______</p><p>CREDIT REFERENCES: (Please list transportation companies only)</p><p>Name: ______Address: ______</p><p>City, State, Zip: ______Contact: ______Phone: ______</p><p>Name: ______Address: ______</p><p>City, State, Zip: ______Contact: ______Phone: ______</p><p>Name: ______Address: ______</p><p>City, State, Zip: ______Contact: ______Phone: ______</p><p>1258 Old Alpharetta Road, Alpharetta, GA 30005, Telephone 877-619-5990 BANKING INFORMATION:</p><p>Name: ______Address: ______</p><p>City, State, Zip: ______Contact: ______Phone: ______</p><p>CUSTOMER RESPONSIBILITY</p><p>Shipments are subject to Weight and Research programs in effect by carrier. Any increase in shipment weight during transit, is subject to additional charges.</p><p>LIMIT OF LIABILITY</p><p>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. </p><p>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.</p><p>PAYMENT TERMS:</p><p>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.</p><p>TSI will apply late fees equal to 5% of the total amount on any Invoice unpaid after 45 days.</p><p>TSI reserves the right to remove all discounts associated on any Invoice unpaid after 60 days.</p><p>The information supplied is known to be true and is provided to TSI for the purpose of obtaining credit.</p><p>COMPANY NAME (PURCHASER): ______</p><p>SIGNATURE (AUTHORIZED REPRESENTATIVE): ______</p><p>PRINTED NAME: ______TITLE: ______DATE: ______</p><p>FOR CREDIT APPROVAL RETURN TO: Ken Kinnevy Phone: 678-762-1334 Fax: 866-375-6926</p><p>1258 Old Alpharetta Road, Alpharetta, GA 30005, Telephone 877-619-5990</p>