Please fill out the form below to apply for credit with Radius Logistics. All fields are required.
Company Information      
Company Name
 Contact Name
Email
  
Address
 City
 Prov/State
Postal Code/Zip Code
Phone
 Fax
Website
GST#/IRS#
 Years in Business
 Legal Structure
  
Accounts Payable Name
 Accounts Payable Phone #
    
Bank Information      
Bank Information
      
Bank Contact
 Bank Email
 Bank Phone
 Bank Fax
Credit Limit Requested
 Invoice Currency
    
Please provide a minimum of 2 Transportation and 2 Trade References below:
Transportation Ref 1
 Phone
 Fax
  
Transportation Ref 2
 Phone
 Fax
  
Trade Ref 1
 Phone
 Fax
  
Trade Ref 2
 Phone
 Fax
  
 
Radius Logistics Terms are Net 7 days. Past due accounts will be assessed a finance charge of 1.5% compounded daily.
We certify the information contained herein to be true and correct. We agree to full payment of all invoices per Radius Logistics. terms. We understand that we may be liable for additional charges & costs of collection should our credit account become delinquent.

By clicking this box you are submitting your digital signature.
Name
 Title
 Date
  

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