To: / From: / Accounting Office
Fax: / Pages:
Phone: / Date:
Re: / Credit Application / CC:
 UrgentReply ASAPPlease CommentPlease Review
Comments:
Please complete the attached credit application. If you already have a list of references and finance information prepared, feel free to use it. The sections with checkmarks must still be filled in and the application must be signed and dated. You should list fax numbers, for your references if available.
Please send your fax directly to the Accounting Office using (603) 659-6104
The Bank Form should be completed, by your company at the check mark areas, then fax it to your bank. The bank needs to complete the form and fax it directly to S&J Transportation Services, Inc. also using the Accounting Office fax number (603) 659-6104.

fax cover

S&J Transportation, Inc
251 Calef Highway, Lee, NH 03861
phone (603)659-3542 | fax (603) 659-6104

/ 251 Calef Highway
Lee, NH 03861
Phone: (800) 776-3718
Fax: (603) 659-6104

APPLICATION FOR CREDIT

Applicant
NAME OF FIRM OR INDIVIDUAL / E-MAIL ADDRESS
ADDRESS / YEARS AT THIS ADDRESS
( ) / ( )
CITY STATE ZIP / PHONE / FAX
OWNERSHIP /  CORPORATION CHECK HERE IF INCORPORATED WITHIN THE PAST 12 MONTHS PARTNERSHIP INDIVIDUAL
1. / ( )
NAME(S) OF PRINCIPAL(S) COMPLETE ADDRESS ZIP
2. / PHONE
( )
3. / ( )
4. / ( )
FINANCE
BANK BANK ADDRESS
( ) / CHECKING ACCT. #
BANK OFFICER OR DEPARTMENT PHONE / SAVINGS ACCT.#
REFERENCES / 1. / FAX:
PHONE: / ( )
( )
BUSINESS NAME COMPLETE ADRESS ZIP
2. / FAX:
PHONE: / ( )
( )
3. / FAX:
PHONE: / ( )
( )
4. / FAX:
PHONE: / ( )
( )

 CHECK HERE IF CASH SALES ARE OKAY UNTIL CREDIT IS APPROVED

WE CERTIFY THAT ALL INFORMATION SUPPLIED ON THIS FORM IS CORRECT. WE FULLY UNDERSTAND YOUR CREDIT TERMS (TERMS = NET 10 DAYS). WE AGREE TO THE PROPER PAYMENT IN CONSIDERATION OF EXTENDED CREDIT.

PRINT NAME / SIGNATURE

DATETITLE

PLEASE DO NOT WRITE IN THE SPACE BELOW
RESULTS / 
REFERENCES CHECKED BY / CREDIT APPROVED BY

REFERENCE RESULTS / CREDIT REFUSED BY
DATE:______
BANK NAME:
BANK ADDRESS:

We are seeking to open an account with S&J Transportation Services, Inc. Would you kindly fax the information that is requested below directly to them at (603) 659-6104. If you require further details to release this information, please call me.

Signature

Name of Company

To: / S&J Transportation Services, Inc. / Telephone: / 603-659-3542
251 Calef Highway / Fax: / 603-659-6104
Lee, NH 03824

PLEASE VERIFY THE FOLLOWING INFORMATION:

ACCOUNT RATING: / Satisfactory
Unsatisfactory
Not Rated
DEPOSIT INFORMATION
CHECKING: / AVG. BALANCE:
OPENED: / NOMINAL / THREE FIGURE
CLOSED: / LOW / FOUR
AGGREGATE / MODERATE / FIVE
NONE / MEDIUM / SIX
SAVINGS: / AVG. BALANCE:
OPENED: / NOMINAL / THREE FIGURE
CLOSED: / LOW / FOUR
AGGREGATE / MODERATE / FIVE
NONE / MEDIUM / SIX
GENERAL COMMENTS:

Very truly yours,

/ 251 Calef Highway
Lee, NH 03861
Phone: (800) 776-3718
Fax: (603) 659-6104

S&J Transportation has updated our software related to freight billing procedures and is now sending out invoices electronically.

Please complete this form and fax it back to our Accounting Office at 603-659-6104.

E-mail address that you would like S&J to submit freight bills to:
E-Mail Address
Signed By:
Print Name:
Date:
Company:

Thank you,

S&J Transportation Services, Inc.