Improved cash flow Release of payment within 2 business days from receipt of invoice and
|
|
- Kory Barker
- 2 years ago
- Views:
Transcription
1 Dear Schneider Carrier Network Member, As a transportation leader, Schneider understands the pressures today's carriers face from rising fuel and insurance costs to a cash flow squeeze when shippers take longer to pay for your services. Schneider Quick Pay is designed to address your cash flow needs. With Schneider Quick Pay, you ll get: Improved cash flow Release of payment within 2 business days from receipt of invoice and signed BOL Low discount rate 2% discount conserves your profits (A $25 minimum fee will be applied to any load moved with a Schneider Trailer) Schneider Quick Pay gives you a choice of ways to get cash in your hands quickly. We can transfer the funds directly to your checking account electronically, or if you prefer, we can mail you a check. Upon enrollment in the Schneider Quick Pay Program, you can fax your invoices and signed BOL to the designated Quick Pay processing center and payment will be released within 2 business days of receipt of your paperwork. If you are currently using a factoring company, we will need a release letter from your factoring company. All the information you need to get started with Schneider Quick Pay has been included in this package. To get started fax the enrollment forms to today. You will be contacted by a member of our Carrier Services team to confirm the receipt of your paperwork. The initial set-up process for the Schneider Quick Pay program could take up to 5 business days. If you have any questions, please feel free to call Schneider Carrier Services at for more details.
2 Where do I send my invoices? Quick Pay invoices can be mailed to Schneider Quick Pay at the following address: Postal Mail Overnight Mail Schneider National Brokerage Schneider National Brokerage Attn: Quick Pay Department Attn: Quick Pay Department P.O. Box S Packerland Dr. Green Bay, WI Green Bay, WI The Schneider Quick Pay Program only applies to invoices for loads moved by Schneider Brokerage Services. At this time, the Brokerage Services group is the only entity that offers a Quick Pay program. If you move loads for another Schneider entity please continue to process your invoices in the same manner as in the past. Can I fax my invoice? Legible copies of your invoice, signed bill of lading, and tender sheet rate contract can be faxed to If the paperwork is not legible, payment will be held until a legible copy is obtained. Can I choose which invoices I want to Quick Pay? Once a carrier enrolls in the Schneider Quick Pay Program all invoices for Schneider Brokerage must be processed in the Quick Pay Program. Carriers cannot choose what invoices they would like Schneider to Quick Pay on an individual basis. What can I do to eliminate payments being held? When submitting an invoice for Schneider Quick Pay please take the time to verify that the amount that you are invoicing matches the rate tender sheet that you received from Schneider Brokerage at the time of dispatch. If the rate sheet does not match because additional accessorial charges were incurred, please contact the Broker who dispatched the load to get the charges approved and an updated copy of the rate tender sheet. Call the Broker to communicate the completion time and trailer number before invoicing. What should I include with my invoice? When billing Schneider Brokerage Services all invoices must reference the Schneider Load # on the face of the invoice. The Schneider Load # can be located on the Rate Tender sheet that you received at the time the load was dispatched. The 7 or 8 digit alphanumeric load # starts with 2 alpha characters followed by 5 or 6 numbers. If the load # is not referenced on the invoice, the invoice will be delayed for payment. All invoices need to be accompanied by assigned BOL, and if a lumper charge was incurred, a signed copy of the receipt must also be included with your invoice. A copy of the rate tender sheet should also be included with your invoice. Please verify that the amount and load # on the rate tender sheet match the invoice.
3 Can I bill multiple loads on 1 invoice? Schneider will only accept 1 load per invoice; summary invoices will be returned to the carrier to bill individually. What are my payment choices? We offer a choice of payment options to suit your needs and your business practices, from ACH deposits in your bank account to paper checks delivered via first class mail. If you would like to receive your payments via ACH please complete the ACH form included with this package along with a voided check and fax it to When will my payments be released? All payments will be released within 2 business days from receipt of a clear and legible invoice and bill of lading. Day Invoice Received Funds Released EFT Funds Available Monday Wednesday Friday Tuesday Thursday Monday Wednesday Friday Tuesday Thursday Monday Wednesday Friday Tuesday Thursday Paper checks will be mailed the day after release of payment. I currently use a factoring company; what do I need to do to participate? To participate in the Schneider Quick Pay program you will need to obtain a letter of release from your factoring company. What do I need to do to get started with Schneider Quick Pay? Getting started is simple. Please take a few minutes to review and sign the addendum to the Master Transportation Contract for the Schneider Quick Pay program. Fax the following documents to : 1. Signed contract 2. Payment set-up forms 3. Copy of your invoice 4. ACH payment set-up form and voided check if you would like to receive payment electronically. 5. If you have factored your invoices in the past please include a copy of your release letter from your factoring company. If you have any questions, please feel free to call Schneider Carrier Services at for more details.
4 Addendum to Master Transportation Contract Schneider QuickPay This Addendum to Master Transportation Contract (hereinafter Addendum ), effective as of date signed, ( Effective Date ) is made by and between Schneider National Carriers, Inc. and Schneider National Bulk Carriers, Inc., (hereinafter referred to as "Broker"), and Full Carrier Legal Name City / State Motor Carrier # (hereinafter Carrier ) a licensed motor carrier that provides transportation and related services under a Master Transportation Contract between the parties (herein after Contract ). Upon completion of a load under such Contract, and after providing the necessary documents to confirm completion of the Carrier's responsibilities without loss or damage, the Broker agrees to pay to Carrier the amount of the freight bill as approved by Broker less a discount of 2% of the gross amount of the approved freight bill. (A minimum of $25 ( discount ) will apply to all loads moved with a Schneider Trailer.) Upon receipt of the necessary documents, and provided that Carrier is otherwise in compliance with the terms of the Contract, the Broker will make payment to the carrier within 2 business days in the manner designated by Carrier, which shall either be by: (a) depositing the amounts via electronic funds transfer EFT into Carrier's checking account or (b) delivery of a check, or (c) any other method that may be agreed upon between Broker and Carrier. Such payment shall constitute complete and final payment for such freight bill owed to Carrier, Carrier recognizing that such early payment is in exchange for the discount provided. Carrier shall provide Broker with written payment instructions (QuickPay Set-Up Form), and agrees to defend and hold Broker harmless from any claims or damages that may arise from payment by Broker according to the Carrier s instructions. Carrier under-stands and agrees that it may take up to 5 business days from the execution of the Addendum to begin processing the initial quick pay invoices. If Carrier has previously instructed Broker to pay a factoring company, a Release Letter will need to be provided by the factoring company waiving any rights to future payments for the Carrier. Until such release letter is obtained, this contract will not be effective. The term of this Addendum shall commence on the Effective Date and shall continue thereafter until terminated by either party at anytime, with or without cause, on thirty (30) days prior written notice.
5 All notices required by or related to this Agreement shall be in writing and sent to the parties at the addresses set forth below and shall be deemed given when personally delivered, by confirmed facsimile, or three (3) days after having been mailed by certified mail, return receipt requested, to the following addresses: Notice Addresses: Broker Schneider National Carriers, Inc. Attn: Quick Pay P.O. Box 2560 Green Bay, WI Fax: Carrier Please fill in: Full Carrier Legal Name Carrier s Mailing Address Carrier s Fax Number Either party may change the address to which future notices are to be addressed by giving written notice of such change to the other party. Broker may subcontract the services, duties, and obligations it has agreed to provide Carrier under the Contract and its Addenda to any of its corporate affiliates. Neither party may assign its rights or obligations under the Contract and its Addenda without the prior written consent of the other, except that Broker may assign its rights and/or obligations to any of its corporate affiliates. This Addendum is governed by and subject to those additional terms and conditions included in the Master Transportation Contract between the parties. IN WITNESS WHEREOF, the undersigned individuals have executed this Addendum at Green Bay, Wisconsin as of the Effective Date, and by doing so, represent and warrant that they have been or are specifically authorized to do so on behalf of the organization they represent. Signature: Title: Vice President, Brokerage Date: Signature of company owner or president Title of Signee Date Motor Carrier Number (MC #)
6 Carrier Payment Set-up To assist us in the set-up of your account for payment please take a few minutes to complete the form below. A copy of a voided invoice must also be attached to this form to ensure that your account is setup accurately. Full Carrier Legal Name: Doing Business As: Physical Address: City State ZIP Code Mailing Address: City State ZIP Code Accounts Receivable Contact Name: Accounts Receivable Contact Phone #: Are your receivables factored or assigned? Yes No If yes, please fill out the following information: Name of Factoring Company: Telephone Number: Address to Mail Payments: SCAC Code US Taxpayer ID # Canadian Safety/CVOR # For Internal Use Only FSP# SPS# Template
7 Supplier # (Internal Use Only) SCHNEIDER NATIONAL INC ACH Direct Deposit Form United States Only EDI/DEFT Authorization Supplier/Carrier Legal Name Carrier MC # Mailing Address City State Zip Accts Receivable Contact: Phone #: Schneider desires the flexibility to make payments for such goods and/or services by electronic funds transfers through the banking system ( ACH or EDI/DEFT, United States), and agrees to grant such flexibility. Therefore, Company hereby (1) authorizes Schneider to make payments for goods and services by ACH or EDI/DEFT (2) certifies it has selected the following depository institution, and (3) directs all such electronic funds transfers be made as provided below: Name of Banking Institution: Bank Routing/Transit Number Account Number: ********Please Attach or Fax With Your Form a Voided Check ******** Remittance options: (Check one option only) Remittance to be included with the electronic funds transfer through the banking system - select only if your bank is EDI capable. If you choose this option you and your financial institution must decide how they will get the remittance to you. Auto Fax Fax Number If you choose this option your money will be deposited in your account electronically and your remittance will be faxed directly to you. Address: If you choose this option, your money will be deposited in your account electronically and your remittance will be ed to you. Company will give thirty (30) days advance notice in writing to Schneider National Inc of any changes in its depository institution or other payment instructions. Changes made to your checking account may not be effective on your next payment. Schneider National Inc is not responsible for overdrafts incurred before funds are deposited. Name of Company (Full Carrier Legal Name) Date tus Signature of Company Owner or President Title When completed, please fax or mail to: Schneider National Inc Attn: Carrier Payment PO Box 2560 Green Bay, WI Phone #(800) Fax #(920)
If you are currently using a factoring company, we will need a release letter from your factoring company.
Dear TranSource Carrier Network Member, As a transportation leader, TranSource LLC understands the pressures today s carriers face from rising fuel and insurance to a cash flow squeeze when shippers take
New Carrier Setup Information we need from you to set you up as a new carrier:
1762 Ridgewood Cir. Lawrenceburg, IN. 47025 Phone: 812-637-3251 Fax: 302-450-4181 New Carrier Setup Information we need from you to set you up as a new carrier: 1. Signed Carrier-Broker Agreement 2. Copy
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND: SMALL BUSINESS HEALTH OPTIONS PROGRAM PRODUCER AGREEMENT
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND: SMALL BUSINESS HEALTH OPTIONS PROGRAM PRODUCER AGREEMENT This PRODUCER AGREEMENT ( Agreement ) made effective as of the day of, 20 (the Effective Date ) is between
TRANSPORT WORLDWIDE, LLC
The following information is needed in order for us to set your company up as an approved carrier for TRANSPORT WORLDWIDE, LLC. Please return to: TRANSPORT WORLDWIDE, LLC 307 Oates Road Suite H Mooresville,
Factoring Facts. Benefits from D&S Factors: D&S FACTORS. is a factoring company that provides you with..
Factoring Facts Cash flow is one of the main reasons businesses fail. At one time or another, every business, even successful ones, has experienced poor cash flow. Cash flow does not have to be a problem
Follow us on twitter @PacExLogistics for News and Industry Updates!
MC Number: 648132 DOT number: 1920166 Federal Tax ID#: 32-0254568 SCAC code: FMSCA Bond: (Form-85/$25,000 Trust Fund) Banking PACW Policy#648132 Pacific Financial Association Inc. 12707 High Bluff #200
BROKER/CO-BROKER INTERMODAL TRANSPORTATION AGREEMENT
BROKER/CO-BROKER INTERMODAL TRANSPORTATION AGREEMENT THIS BROKER/CO-BROKER INTERMODAL TRANSPORTATION AGREEMENT ( Agreement ) is made and intended to be effective this day of, 20 by and between, having
Billing and Company Information
Billing and Company Information Warren Logistics, Inc. PO Box 30 Blanchard, ID 83804 Phone (888) 253-0430 Fax (208) 962-6741 quote@warrenlogistics.com www.warrenlogistics.com S Corporation, Idaho State
576 Valley Rd, #234 Wayne, NJ 07470 Tel: (973) 333-4922 Fax: (973) 595-7720. Attention: Date:
Attention: 576 Valley Rd, #234 Tel: (973) 333-4922 Fax: (973) 595-7720 From: Date: Cheryl Biron I would like to take this time to thank you for your interest in becoming a qualified carrier for One Horn
94 Park Avenue Suite 11 Nutley, New Jersey 07110 Phone: (844) NWL- GROUP Fax: (973) 500-6737
This Agreement is between: (Agent) and Nationwide Logistics Group, LLC (MC# 886812) The purpose of this Agreement is to provide a working program whereby the Broker supports the Agents transportation activity
ATTENTION CARRIER! PLEASE FAX THIS COMPLETED FORM ALONG WITH THE FOLLOWING DOCUMENTS TO 315-622-5281
ATTENTION CARRIER! Carrier Name: PLEASE FAX THIS COMPLETED FORM ALONG WITH THE FOLLOWING DOCUMENTS TO 315-622-5281 Signed Breakaway Transport Broker/Carrier Agreement Workman s Compensation letter Copy
Have you contacted your financial institution to arrange for the delivery of the CORE required Minimum CCD+ Reassociation Data Elements
Instructions for Electronic Funds Transfer (EFT) Enrollment/Change/Cancellation Page 1 Please use this guide to prepare/complete your Electronic Funds Transfer (EFT) Authorization Agreement Form. Missing,
Please Fax or Mail all Material to
Thank you for your interest in SIGNATURE LOGISTICS, INC. In order to set up your company in our carrier system the following information is needed. Signed Contract Carrier Agreement (return both pages)
New Carrier Setup Form
New Carrier Setup Form Carrier Name: Business Address Street: City: State: Zip: Contact Name: Phone Number: Cell Phone Number: Toll Free Phone Number: Fax Number: Email Address: Payee Address (if different)
PLEASE ASK ABOUT OUR QUICKPAY OPTIONS. WE ALSO HAVE A FACTORING DIVISION READY TO HELP WITH ANY AND ALL FINANCING NEEDS.
PLEASE ASK ABOUT OUR QUICKPAY OPTIONS. WE ALSO HAVE A FACTORING DIVISION READY TO HELP WITH ANY AND ALL FINANCING NEEDS. 6871 W Soldier Creek Ave, Rathdrum ID 83858 Phone: 888-253-0430 X. 1 Fax: 208-439-3152
Please complete the following to become a contract carrier for Spot Freight:
ship. spot. save. 445 N. Pennsylvania Street, 7th Floor Tel: 866.971.7768 Fax: 317.715.9927 carrierservices@spotmyfreight.com Spot Freight Contract Carrier Please send available truck lists to: trucks@spotmyfreight.com
If you have any questions, please call 1-877-LOGISTX (564-4789).
Paramount Transportation Logistics Services, L.L.C. (PTLS) welcomes your interest in becoming an approved carrier for us. We are confident that you will find PTLS an easy company to do business with. The
Enclosed you will find our carrier set-up packet along with our company information. Included in the packet are:
I want to thank you for your interest in RWI. At RWI, we pride ourselves in a culture of service where we value, anticipate and exceed our customers expectations. We also believe this type of service cannot
RETURN ALL CARRIER SET UP PAPERWORK TO FAX: (281) 810-9160
MOTOR CARRIER PROFILE GUFFEY & SON LOGISTICS LLC Dear Carrier Partner To be certain we have an accurate profile of your organization and full knowledge of your transportation services and needs, complete
Carrier Packet Requirements
Carrier Packet Requirements National Transportation Services, LLC looks forward to working with you. Enclosed you will find our carrier requirements, items 1to 9 below reflect the documentation you are
FAX. Toll Free: 800-624-7586. Phone: 406-363-4331 * PO Box 2065 Hamilton, MT * Fax: 406-375-0094. PAGES: 13 (Including Cover Pages) NOTES:
Toll Free: 800-624-7586 Phone: 406-363-4331 * PO Box 2065 Hamilton, MT * Fax: 406-375-0094 FAX FROM: TO: Dispatch PAGES: 13 (Including Cover Pages) NOTES: Please make sure to sign and fax back pages 10-13,
P.O. Box 78189, Nashville, TN 37207- (615) 271-2450 Toll Free 1-800-776-4004
Allow us to earn your respect P.O. Box 78189, Nashville, TN 37207- (615) 271-2450 Toll Free 1-800-776-4004 ATT: PHONE#: FAX#: In order to establish your company as an approved broker - carrier for Tennessee
NOTE: We must have available in our office the following information on all carriers prior to loading
687 CENTER AVE P.O. BOX 758 PAYETTE, IDAHO 83661 CARRIER INFORMATION TELEPHONE 208 642 2594 800 325 4107 FAX 208 642 2057 NOTE: We must have available in our office the following information on all carriers
Please fax the following required paperwork to (501) 955-4998
Dear Carrier, Thank you for your interest in becoming a carrier for Maverick Logistics, LLC. We offer excellent opportunities through competitive rates, prompt settlements, and an experienced staff. To
Carrier Set-up Requirements
Carrier Set-up Requirements Welcome to Big Dog Dispatch. Please have the appropriate authorized person complete, sign and return the following items by fax to 785-250-6777. To Sign on With Big Dog Dispatch:
4350 E. Cotton Center Boulevard Building D Phoenix, AZ 85040 602-263-3000/ 1-800-624-3879 Fax 860-262-7645
Instructions for Electronic Funds Transfer (EFT) Enrollment/Change/Cancellation Page 1 Please use this guide to prepare/complete your Electronic Funds Transfer (EFT) Authorization Agreement Form. Missing,
CUSTOMER DETAILS Corporation Partnership Sole Proprietorship. City: State: Zip: D & B #: Tax ID / EIN #: City: State: Zip:
Type: Trade Name: CUSTOMER DETAILS Corporation Partnership Sole Proprietorship D & B #: Tax ID / EIN #: Officer s Name: e-mail Parent Company: Credit Line Requested: BILL-TO ADDRESS, IF DIFFERENT FROM
MASTER TRANSPORTATION CONTRACT
MASTER TRANSPORTATION CONTRACT This Master Transportation Contract (hereinafter Agreement ), effective as of, (Effective Date) is made by and between Dutch Maid Logistics, Inc. (hereinafter referred to
Multiple Scheduling Coordinator Form Maryland and District of Columbia
Multiple Form Maryland and District of Columbia In order to register a multiple scheduling coordinator, you must already be a registered supplier in Pepco. Please send the completed executed form to: Pepco
RETURN ALL CARRIER SET UP PAPERWORK TO FAX: (888)367-7595
1302 24th Street West, Suite 305 Tel: (888) 228-1055 - Fax: (888) 367-7595 www.bigskytransport.com Dear Carrier Partner Big Sky Transportation, LLC an established freight brokerage and logistics provider
CASHWAY FUNDING STARTUP KIT FREE ACCOUNT IN 5 MINUTES
CASHWAY FUNDING STARTUP KIT FREE ACCOUNT IN 5 MINUTES Welcome to Cashway Funding! Now you can join other successful trucking companies and enjoy the benefits of a profitable and growing trucking business.
Collection Escrow Instructions
Collection Account No. Payee/Seller Name: Address: Telephone No. Email: To: Attn: Collection Escrow Instructions Escrow No. Obligor/Buyer Name: Address: Telephone No. Email: Pacific Trust Deed Servicing
BROKER AND CARRIER AGREEMENT
P.O. Box 889 394 NE Hemlock Redmond, OR 97756 BROKER AND CARRIER AGREEMENT All loads tendered by Central Oregon Truck Company ("Broker") and accepted for transportation by third party carriers ("Carrier")
Feel free to call us if you have any questions. Again, thank you for your interest in Maverick Logistics.
Dear Carrier, Thank you for your interest in becoming a carrier for Maverick Logistics, LLC. We offer excellent opportunities through competitive rates, prompt settlements, and an experienced staff. To
Required Forms for Carrier Authorization
PO Box 2970 Forney, TX 75126 469-728-7070 www.tylerfreight.com Required Forms for Carrier Authorization In order to get set up as an approved Carrier for Tyler Freight Solutions, Inc. please complete and
Return completed applications to: APAC-Texas, Inc. P.O. Box 20779 Beaumont, TX 77720 (409) 866-1444 Phone (409) 866-5541 Fax
Return completed applications to: APAC-Texas, Inc. P.O. Box 20779 Beaumont, TX 77720 (409) 866-1444 Phone (409) 866-5541 Fax APPLICATION FOR BUSINESS CREDIT Date: NOTE: This application for Business Credit
REQUIRED FORMS FOR. In order to get set up as an approved carrier for STAT please complete and return the following documents to us. Thank you.
REQUIRED FORMS FOR CARRIER AUTHORIZATION In order to get set up as an approved carrier for STAT please complete and return the following documents to us. Thank you. 1. The STAT Dispatching & Logistics,
BUSINESS ONLINE BANKING AGREEMENT
Business Online Enrollment Fax, mail, or email completed form to: 910-576-5023 First Bank Business Support PO Box 600 Wilmington, NC 28401 BusinessSupport@LocalFirstBank.com For questions: 866-435-7208
Carrier Benefits & Setup Information
JCT Logistics, Inc. 19007 W Hwy 33/P.O. Box 1900 Sapulpa, OK 74067 Dustin Byrd Phone: 866-775-1358 x 2344 Direct: 918-347-2344 Fax: 918-248-3023 dustinbyrd@johnchristner.com A Division of John Christner
CARRIER REGISTRATION PACKAGE
CARRIER REGISTRATION PACKAGE Please Review All Contents Carefully ~ Time Sensitive Documents Thank you for choosing Trinity Logistics. Please return all requested materials in order to ensure prompt consideration
BROKER CARRIER AGREEMENT. THIS AGREEMENT is made and entered into on, 200, by and between REED FREIGHT SERVICES, INC. ( BROKER ) and ("CARRIER").
BROKER CARRIER AGREEMENT THIS AGREEMENT is made and entered into on, 200, by and between REED FREIGHT SERVICES, INC. ( BROKER ) and ("CARRIER"). I. Recitals A. BROKER is a licensed transportation broker
CREDIT APPLICATION - TERMS & CONDITIONS
CREDIT APPLICATION - TERMS & CONDITIONS Customer herein applies for the extension of credit regarding payment for services provided by AKRR. Prior to the establishment of credit, any and all moves will
234 Fiddler Branch Road Lexington, SC 29072 803-359-9969 Fax 803-359-9487
Dear Carrier: Thank you for your interest in doing business with Rocky Wells. You can return your Carrier Profile Packet via email to our company representative assisting you. We look forward to working
NON EXCLUSIVE BROKER REFERRAL AGREEMENT
NON EXCLUSIVE BROKER REFERRAL AGREEMENT THIS NON-EXCLUSIVE BROKER REFERRAL AGREEMENT (this Broker Contract ) is made this day of, 2013 by and between [NAME] (herein after called the "IFPG FRANCHISE CONSULTANT/BROKER
Star Freight LLC Carrier Setup Package
Star Freight LLC Carrier Setup Package 2801 Bertholet Blvd, Ste 301 The Star Freight network covers a diverse geographic area and freight services providing excellent opportunities for our carrier partners
$ Quick Pay: Guaranteed payment 20 days following the receipt of the POD and associated paperwork. There is a 2% discount taken for this service.
Dear Potential Carrier Partner, Thank you for your interest in becoming a carrier and partner with Grimes Supply Chain Services, INC (GSCS). We offer excellent opportunities to be a part of our team and
SLM BROKERS 11441 GEHR RD WAYNESBORO PA 17268 PHONE: 717-762-2772 FAX: 717-762-0953
SLM BROKERS 11441 GEHR RD WAYNESBORO PA 17268 PHONE: 717-762-2772 FAX: 717-762-0953 In order to get you set up with our company we will need the following documents: Copy of your operating authority Copy
2015 FN AMERICA RANGE PARTNER PROGRAM ENROLLMENT FORM
ENROLLMENT FORM The FN America Range Partner Program allows retail dealers with shooting ranges to purchase select FNH USA products from FN America at a significant discount for use as range/rental guns.
HAMPTON LUMBER SALES COMPANY
9600 SW Barnes Road Suite 200-6666 www.hamptonaffiliates.com To: ATTN: # of pages sent: 5 DATE: We want to thank you for your interest in being added to our carrier base, a group of carriers that are committed
First Northern Bank and Trust Co. Business Online Banking Application
First Northern Bank and Trust Co. Business Online Banking Application Company Name Tax ID: Address City State ZipCode Contact Name Title Phone # Email Address Fax # Please select the following services
Brinker Invoice Requirements Last Updated: 1/1/05. Policy Guide
Brinker Invoice Requirements Last Updated: 1/1/05 Policy Guide Brinker International makes payments against valid original invoices. The following Brinker International invoice requirements will ensure
Corporate Internet Banking. Authorization Worksheets
Corporate Internet Banking Authorization Worksheets CLIENT AUTHORIZATION General Company Information Company Name: Client Number: Address: City, State, Zip: Contact Name: (Maximum 35 characters) Phone
VISA BUSINESS CREDIT CARD APPLICATION
UMB i1510018 (R 09/10) VISA BUSINESS CREDIT CARD APPLICATION It s easy to Apply. Incomplete information may cause delays. Please complete in full. bankcardcredit.commercial@umb.com Fax to 816.843.2485
EPS EFT Enrollment Authorization Agreement
EPS EFT Enrollment Authorization Agreement Optum is improving service to you by replacing paper checks and Explanation of Benefits (EOBs) with the Optum EPS solution. Get a head start by enrolling today!
Annuity Full Surrender Request
Annuity Full Surrender Request Annuities are issued by Pruco Life Insurance Company, in New York, by Pruco Life Insurance Company of New Jersey and The Prudential Insurance Company of America (PICA) (these
Business Online Banking Client Setup Form
Business Online Banking Client Setup Form *All available fields must be filled out prior to submission to ensure proper processing. New Setup Maintenance on Existing Customer Company Name: Tax ID: Address:
B R O K E R A G E P A C K E T
2330 Enterprise Park Drive, Suite 106 Indianapolis, Indiana 46218 Phone: 317-472-6411 Fax: 317-308-6425 Email: Day Dispatch: Fast@FastBrokerageInc.com Night Dispatch: AfterHours@FastBrokerageInc.com MC
Instructions Please complete and fax the following documents to 479 203 5434 or email to SupplierServices@bnsflogistics.com. ALL
Instructions Please complete and fax the following documents to 479 203 5434 or email to SupplierServices@bnsflogistics.com. 1. CARRIERS having an unsatisfactory safety rating with the FMCSA or in a Province
Factoring Facts D&S FACTORS D&S FACTORS. NO Other Factoring Company Provides..
Factoring Facts Cash flow is one of the main reasons businesses fail. At one time or another, every business, even successful ones, has experienced poor cash flow. Cash flow does not have to be a problem
PAUL W. RAINWATER COMMISSIONER OF ADMINISTRATION. State of Louisiana. Division of Administration Office of Statewide Reporting and Accounting Policy
BOBBY J INDAL GOVERNOR State of Louisiana Division of Administration Office of Statewide Reporting and Accounting Policy PAUL W. RAINWATER COMMISSIONER OF ADMINISTRATION June 3, 2011 MEMORANDUM OSRAP 11-30
SPI CARRIER SETUP INSTRUCTIONS
SPI CARRIER SETUP INSTRUCTIONS In order for SPI to accept your company up as a supplier in our transportation network, we require the listed information below. Your application will be reviewed by our
WELCOME. Thank you for your interest in representing A-One Commercial Insurance Risk Retention Group, Inc. (A-One).
WELCOME Thank you for your interest in representing A-One Commercial Insurance Risk Retention Group, Inc. (A-One). Attached you will find the necessary paperwork needed for your appointment. A brief checklist
Fuel Express Commercial Fleet Card Application
Fuel Express Commercial Fleet Card Application 1. Complete all parts of Section 1. 2. Read the attached Commercial Fleet Card Terms and Conditions ( Agreement ) and keep it for your records, along with
On Line Banking Agreement and Application for Commercial Accounts
On Line Banking Agreement and Application for Commercial Accounts You must be an existing Business Account holder of the Belt Valley Bank, hereinafter referred to as Bank, in order to apply for the On
SIDNEY TRANSPORTATION SERVICES, LLC. 777 West Russell Road P. O. Box 946 Sidney, Ohio 45365 (937) 498-2323 STS 102 STANDARD RULES AND REGULATIONS FOR
SIDNEY TRANSPORTATION SERVICES, LLC. 777 West Russell Road P. O. Box 946 Sidney, Ohio 45365 (937) 498-2323 STS 102 STANDARD RULES AND REGULATIONS FOR TRANSPORTATION SERVICES Revised January 1, 2011 APPLICATION:
APPLICATION INSTRUCTIONS
APPLICATION INSTRUCTIONS Attached, you will find standard credit application packet. This packet has been prepared specifically for our new customers and also for existing customer credit reviews. Unless
EPS EFT Enrollment Authorization Agreement
EPS EFT Enrollment Authorization Agreement Optum is improving service to you by replacing paper checks and Explanation of Benefits (EOBs) with the Optum EPS solution. Get a head start by enrolling today!
Lipman Logistics Services LLC would like to add your company to our growing list of active, approved brokers.
Dear Contract Broker, Lipman Logistics Services LLC would like to add your company to our growing list of active, approved brokers. Please return the following documents by fax, email, or mail to be placed
CARRIER PROFILE SHEET
CARRIER PROFILE SHEET Carrier Name: Street Address: City: State: Zip: Carrier Contact Information Primary Contact Name: Office Phone: ext: Fax: Cell Phone: Email: Secondary Contact Name: Office Phone:
Complete all required information on pages 1, 2, 3.
APPLICATION AND AGREEMENT FOR Subsidized CHILD CARE DISTRIBUTION SERVCIES THIS AGREEMENT ("Agreement") between Fidelity Information Services, LLC. an Arkansas limited liability company located at 601 Riverside
REQUIREMENTS FOR OPEN ACCOUNTS NO EXCEPTIONS I. COMPLETE CREDIT APPLICATION FORMS 2. COMPLETE CHECK ACCEPTANCE FORM 3
REQUIREMENTS FOR OPEN ACCOUNTS NO EXCEPTIONS I. COMPLETE CREDIT APPLICATION FORMS 2. COMPLETE CHECK ACCEPTANCE FORM 3. ATTACH COPY OF ANNUAL RESALE TAX CERTIFICATE FOR SALE 4. IF SS# NOT LISTED ON CREDIT
COLUMBIA GAS OF OHIO, INC. ACCOUNTS RECEIVABLE PURCHASE AGREEMENT
COLUMBIA GAS OF OHIO, INC. ACCOUNTS RECEIVABLE PURCHASE AGREEMENT This Agreement made this day of, 2, ( Agreement ) by and between, located at ( Supplier ) and Columbia Gas of Ohio, Inc. ( Company ), 290
BROKER/SHIPPER AGREEMENT
BROKER/SHIPPER AGREEMENT THIS BROKERAGE AGREEMENT ( Agreement ) is made and entered on, 20, by and between ( SHIPPER ) and Transportation Solutions Group, LLC DBA Redwood Multimodal ( BROKER ) (collectively,
Guidelines for completing the Orscheln VISA Credit Card Business Application
Guidelines for completing the Orscheln VISA Credit Card Business Application The guidelines listed below are designed to help you assist the business in submitting a complete business application. Following
THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS
THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS Contracting for Independent Contractor services with the University of Utah may require completion of the following: Employee/Independent
CARRIER FILE CHECK OFF LIST
Mail Invoices with originals to: 12 7 th Ave SE, Suite 1, Watertown, SD 57201 Office: 605-540-4046 Cell: 605-881-4143 Fax: 605-939-7110 MC# 667252 TIN: 26-4091214 sokotalogistics@live.com AGENTS: LA Cook
Institutional Bank Transfer Form
Institutional Bank Transfer Form Please print clearly in capital letters and black ink. This form is to be used to add U.S. bank account instructions to a Vanguard account(s) and should only be used by
Credit Application. Thank you for choosing EverBlock Systems, LLC for your modular building needs.
Credit Application Thank you for choosing EverBlock Systems, LLC for your modular building needs. To enable us to process this application without delay, please fill out this form completely and return
DEBT MANAGEMENT COMPANY LICENSE APPLICATION
State of Indiana DEPARTMENT OF FINANCIAL INSTITUTIONS 30 South Meridian Street, Suite 300 Indianapolis, Indiana 46204 State Form 50291(R8/10) Approved State Board of Accounts 2001 DEBT MANAGEMENT COMPANY
ALL AMERICAN TRUCKING CO. LLC Carrier Sign on Checklist
ALL AMERICAN TRUCKING CO. LLC Carrier Sign on Checklist Carrier Name: Signed Transportation Agreement between ALL AMERICAN TRUCKING CO. LLC and Carrier Copy of Carrier s PUCO Operating Authority Signed
Visa Business Credit Card Visa Business Rewards Credit Card
Visa Business Credit Card Visa Business Rewards Credit Card Card Center, P.O. Box 410436, Kansas City, MO 64141-0436 Branch ID no. Associate ID No. Agent # - BBW 0240 COMPANY INFORMATION Company Name Street
Capaha Connect Business Online Banking Application and Agreement
Capaha Connect Business Online Banking Application and Agreement 1. Client Information: Company Name: Company Phone #: Address: Company Tax ID #: City, State, Zip: Company Website: 2. Company Contact And
Discount Steel, Inc. 800-522-5950
Discount Steel, Inc. 800-522-5950 Corporate Division Fort Worth Division Hardware Division 216 27 th Ave. North 10353 Hicks Field Rd 2626 N. 2 nd St Minneapolis, MN 55411 Fort Worth, TX 76179 Minneapolis,
Loaded Up Logistics Terms and Conditions
Loaded Up Logistics Terms and Conditions Loaded Up Logistics (hereinafter referred to as "Company") is a Freight Logistics Company operating as a Freight Broker and is licensed by the Department of Transportation
PROPOSAL DOCUMENT LEGAL NOTICE - PROPOSALS WANTED GENERAL INFORMATION AND INSTRUCTION (IF YOU CHOOSE NOT TO SUBMIT A PROPOSAL, PLEASE COMPLETE PAGE )
PROPOSAL DOCUMENT CITY OF BEVERLY HILLS PURCHASING DIVISION 455 NORTH REXFORD DRIVEBEVERLY HILLS, CALIFORNIA 90210(310) 285-2440 LEGAL NOTICE - PROPOSALS WANTED Sealed proposals are requested on the list
IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs
IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Direxion Investments c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Direxion
SUBSCRIPTION AGREEMENT AND POWER OF ATTORNEY REDWOOD MORTGAGE INVESTORS IX, LLC A DELAWARE LIMITED LIABILITY COMPANY
EXHIBIT 4.1 SUBSCRIPTION AGREEMENT AND POWER OF ATTORNEY REDWOOD MORTGAGE INVESTORS IX, LLC A DELAWARE LIMITED LIABILITY COMPANY The undersigned hereby applies to purchase units in REDWOOD MORTGAGE INVESTORS
YORKMONT AUTO AUCTIONS, INC. 799 South Main St. Fair Haven, VT 05743. Office: 802.278.8057 Fax: 802.278.8114. www.yorkmontaa.com
REGISTRATION FORMS YORKMONT AUTO AUCTIONS, INC. 799 South Main St. Fair Haven, VT 05743 Office: 802.278.8057 Fax: 802.278.8114 info@yorkmontaa.com Auction Insurance policy requires all registration forms
1476 South Major Street, SLC, Utah 84115 487-4966 Office/487-4986 Fax www.payserv1.com
A Benchmark for Excellence Payroll Services 1476 South Major Street, SLC, Utah 84115 487-4966 Office/487-4986 Fax www.payserv1.com New Company Direct Deposit Set-Up Form (Please complete and return this
NON-DISCRETIONARY ADVISORY AGREEMENT
NON-DISCRETIONARY ADVISORY AGREEMENT THIS NON-DISCRETIONARY ADVISORY AGREEMENT is made by and between the undersigned (the Client ) and Values First Advisors, Inc. (the Advisor ). The Client hereby retains
Always In Control. IRVING 24 Card
IRVING 24 Card Always In Control Complete North American fueling coverage FuelGenius Irving s fast, safe and flexible online fleet management tool 24-hour customer care support For Managers of Large Truck
NEW CARRIER PACKET. Keeter Enterprises, LLC Severing the Transportation Industry Since 1959
NEW CARRIER PACKET Keeter Enterprises, LLC Severing the Transportation Industry Since 1959 CONTACT INFO 303-415-1869 Office 303-443.9277 1-800-225-3721 Toll Free MC# 461369 FEIN# 30-0173538 keeter@keeter.biz
Carrier Guidelines. Emergencies - Call 800-321-7182. Carrier Paperwork
Carrier Guidelines Emergencies - Call 800-321-7182 Carrier Paperwork 1. FAK load number and carrier number is critical. If we cannot identify the proper paperwork to our load number, payment will be delayed.
INTENT TO REPAIR DOCUMENT This is a document that tells us you plan to repair the property using the insurance claim funds.
Dear Customer: has been advised that you have recently experienced a loss to your property. To ensure that we are able to provide prompt release of insurance claim funds, the following documents will need
Business Online Bill Pay Terms and Conditions
Business Online Bill Pay Terms and Conditions This Online Bill Pay Terms and Conditions ("Agreement") is between Customer and Spring Bank for the delivery of Business Online Bill Pay as described below:
To Whom It May Concern,
Streamline 222 S 15TH ST STE 402S Omaha, NE 68102 (800)262-25492549 x 3 fax (402)271-3317 To Whom It May Concern, Thank you for your interest in becoming a Streamline customer. We look forward to building
ELECTRONIC FUNDS TRANSFER GUIDE
ELECTRONIC FUNDS TRANSFER GUIDE ACH CREDIT METHOD Included inside is an application form and instructions. INTRODUCTION Job Service North Dakota (JSND) has developed a program to accept Unemployment Insurance
VENDOR MERCHANDISE AGREEMENT
VENDOR MERCHANDISE AGREEMENT THIS VENDOR MERCHANDISE AGREEMENT ( Agreement ) is made as of the date indicated below by and between ValueVision International, Inc., d/b/a ShopNBC ( ShopNBC ), a Minnesota
Dear New Vendor: After having reviewed these documents please return:
Dear New Vendor: Enclosed you will find the necessary Broker/Carrier Agreement, Carrier Profile and a list of required documents listed below necessary to conduct business with UniGroup WorldWide Logistics.