U.S.Messenger

Type of Business	In Business Since

Legal Form Under Which Business Operates
Corporation Partnership Proprietorship
If Division/Subsidiary, Name of Parent Company	In Business Since:

Name of Company Principal Responsible for Business Transactions	Title

Phone	Email Address

Name of Company Principal Responsible for Paying Invoices	Title

Phone	Email Address

Company Name	Company Name	Company Name

Contact Name	Contact Name	Contact Name

Address	Address	Address

Email	Email	Email

Phone	Phone	Phone

Account Opened Since	Account Opened Since	Account Opened Since

Credit Limit	Credit Limit	Credit Limit

Current Balance	Current Balance	Current Balance

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein. Unless agreed in writing all invoices are due within 30 days.

Signature & Title Date

USM Logistics Credit Application