us liner new account application

Untitled Document

credit application

Download a pdf version of the new account application to fax back to us or use our online form below.

Applicant
Firm Name		*
D/B/A
Billing Address
City
State
Zip Code
Phone
Fax
D & B #
Business Type
Date Established
Amt. of Credit
Tax Exempt?		Yes No
Buyer Name		*
A/P Contact
Contact email		*
Website

Bank Reference
Bank
Contact
Address
City
State
Zip Code
Phone
Fax

Trade References
Company
Contact
Address
City
State
Zip Code
Phone
Fax

Company
Contact
Address
City
State
Zip Code
Phone
Fax

Company
Contact
Address
City
State
Zip Code
Phone
Fax

The parties concur that this Agreement shall be construed according to the laws of the State of Pennsylvania, and any action thereon may be brought in the State of Pennsylvania in Butler County. In consideration of U.S. Liner Company extending credit, we do hereby agree jointly and severally to pay for all goods, wares, and merchandise supplied to use for the above named business. In the event it becomes necessary to place the account with an attorney or collection agency, we agree to pay all costs of collection including reasonable attorney’s fees.

phone: 1.800.875.4637 :: 1.724.776.4044 :: fax: 1.724.776.4045 :: info@uslco.com