Agreement Form

Business Profile

• LEGAL BUSINESS NAME:

• Date Established:

• Estimated Annual Sales: $

• OWNERSHIP:Sole OwnerPartnershipCorporationLLCOther

• PRINCIPAL:

•  

• Name:

• Title:

• Home Address:

• Has the firm or any of its principals ever been bankrupt?:YesNo

• If yes, please explain:

Payment Profile

*******3% Credit card fee will be added to all CC payments.

• CREDIT CARD #:

• CARD TYPE:

• EXP DATE:

• Security Code:

• NAME ON CARD:

• BILLING ADDRESS:

• CARD HOLDER EMAIL ADDRESS (FOR RECEIPTS):

• SIGNATURE:

• I acknowledge by signing below that I hereby authorize Worldwide Logistics of NJ, LLC and/or its affiliated companies to process payment on the above listed credit card. This credit card will be used to satisfy any services rendered by Worldwide Logistics of NJ, LLC. Any additional charges to Worldwide Logistics of NJ, LLC due to incorrect information listed above will be charged back to the customer

• PREFERRED METHOD OF PAYMENT (circle one):Credit CardACH TransferCompany CheckWire Transfer

• TRADE REFERENCES:
  Please name suppliers of major products and services. (You may submit your own form)

• NAME:

• ADDRESS:

• PHONE & FAX #:

• NAME:

• ADDRESS:

• PHONE & FAX #:

• NAME:

• ADDRESS:

• PHONE & FAX #:

• NAME:

• ADDRESS:

• PHONE & FAX #:

• BANK REFERENCE:

• BANK NAME:

• ADDRESS:

• PHONE & FAX #

• BANK NAME:

• ADDRESS:

• PHONE & FAX #

• Contact Person:

• Account #:

• Type: Checking or Loan;

Agreement Details

• Customer affirms that the facts and statements provided in this application and agreement are accurate and representative of Customer’s affairs as of this date. By signing this application, Customer hereby authorize Worldwide Logistics of NJ, LLC d/b/a Accurate Logistics to contact the credit references, and other sources, to initially and periodically investigate Customer’s credit standing for the purpose of maintaining this credit relationship. If credit is approved, Customer agrees to pay in accordance with your terms. Customer represents and warrants that this request for credit is for business purposes only and not for personal, family, or household purposes. Customer has obtained any authorization necessary to sign this Agreement for the provision of motor carrier transportation and related services by Worldwide Logistics of NJ, LLC d/b/a Accurate Logistics.

• Customer understands that all invoices are due and payable within 15 days following the invoice date and that interest of 1.5% per month (or the highest legal rate) shall be assessed on all invoices not paid within 15 days. This Agreement is entered into in the State of New Jersey and shall be governed by the laws of the State of New Jersey without regard to its conflicts of law principles. In the event Worldwide Logistics of NJ, LLC d/b/a Accurate Logistics is required to retain legal counsel to effect collection of unpaid invoices arising out of this Agreement, Customer agrees that Worldwide Logistics of NJ, LLC d/b/a Accurate Logistics shall be entitled to an award of all of its costs, expenses, and attorney’s fees incurred in connection with collection. Any dispute arising under or relating to this Agreement shall be resolved only in the state courts located within Passaic County, New Jersey. This Agreement may not be waived or modified in any way except by agreement signed by the party against whom such waiver or modification is asserted. Further, Worldwide Logistics of NJ, LLC d/b/a Accurate Logistics’ RULES CIRCULAR 100, as amended from time to time, are incorporated here by reference, and may be accessed at: https://www.accuratelogistics.net/

• SIGNATURE

• TITLE:

• DATE: