Credit Application

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All fields and sections are required unless they are noted as optional.

For the convenience of non-customers wishing to establish an account with R+L Carriers, an online credit application has been provided. Upon submitting the completed application, it will be reviewed by our staff who will respond to you by email.

You may also print a Credit Application and mail or fax it to R+L Carriers. Download the PDF credit application.

Billing Information

Check if this information is the same as the company information above.

Name

Contact Name

Address Line 1

Address Line 2 (optional)

City / State

Zip Code

Accts Payable Phone Number / Ext

Accts Payable Fax Number

Email Address (optional)

Provide bill of lading w/ invoice?

YesNo

Provide delivery receipt w/ invoice?

YesNo

Credit Reference 1

Name

Email Address (optional)

Address Line 1

Address Line 2 (optional)

City / State

Zip Code

Phone Number / Ext

Fax Number

Reference 2

Name

Email Address (optional)

Address Line 1

Address Line 2 (optional)

City / State

Zip Code

Phone Number / Ext

Fax Number

Reference 3

Name

Email Address (optional)

Address Line 1

Address Line 2 (optional)

City / State

Zip Code

Phone Number / Ext

Fax Number

Reference 4

Name

Email Address (optional)

Address Line 1

Address Line 2 (optional)

City / State

Zip Code

Phone Number / Ext

Fax Number

Banking Institution

Name

Email Address (optional)

Address Line 1

Address Line 2 (optional)

City / State

Zip Code

Phone Number / Ext

Fax Number

| Clear

R+L Carriers Freight Shipping and Logistics Company

Credit Application

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