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CREDIT APPLICATION & SETUP FORM

Must be completed in it's entirety

CUSTOMER LEGAL NAME: COMPANY DBA: CREDIT LIMIT REQUESTED:

DATE:

COMPANY INFORMATION

FEDERAL TAX ID # DNB # ADDRESS CITY/STATE/ZIP BUSINESS PHONE BUSINESS FAX WEBSITE MAIN CONTACT NAME MAIN CONTACT TITLE MAIN CONTACT PHONE MAIN CONTACT EMAIL MAIN CONTACT FAX

HAVE YOU EVER FILED BANKRUPTCY? __________ DATE: ___________ UNDER NAME: ____________________________

If company is a corporation, list officers below:

If a subsidiary of another company, please note company name & address:

State of incorporation: _________________________________

PRESIDENT: ________________________________________________________ VICE PRESIDENT: ___________________________________________________ SECRETARY AND TREASURER: ________________________________________

PHONE: _________________________ PHONE: _________________________ PHONE: _________________________

ACCOUNTING CONTACT INFORMATION

A/P CONTACT NAME A/P CONTACT PHONE A/P CONTACT EMAIL A/P CONTACT FAX CONTROLLER'S NAME CONTROLLER'S PHONE CONTROLLER'S EMAIL CONTROLLER'S FAX

PAYMENT PROCESSING COMPANY (if applicable)

NAME ADDRESS CITY/STATE/ZIP CONTACT NAME CONTACT PHONE CONTACT EMAIL

PLS Credit Application v.8.11

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CUSTOMER INVOICE REQUIREMENTS

INVOICING DOCUMENT REQUIREMENTS PLS FREIGHT INVOICE SHIPPER'S BILL OF LADING (BOL) PROOF OF DELIVERY (POD) CUSTOMER SPECIFIED DOCS (add'l processing fees may be applicable)

SPECIAL INVOICING REQUIREMENTS (must be supplied to PLS prior to invoicing) ORDER # PURCHASE ORDER # REFERENCE # SHIPPER # STORE # GL # OTHER

INVOICE FORMAT (choose one) HARDCOPY VIA MAIL BILLING ADDRESS BILLING CITY/STATE/ZIP ATTENTION TO AND PHONE # EXCEL SPREADSHEET Emailed weekly or daily (choose one)

Lists each shipment on one line with pertinent information. Summary tab serves as the weekly invoice DETAILED PDF Emailed weekly or daily (choose one)

Lists one shipment per invoice with pertinent...