Credit Application

INSTRUCTIONS

A completed credit application must be received and processed by WLX|WLE before a load can be accepted; failure to complete all items may delay your shipment. Financial information may be requested to approve credit and from time to time after an account is established. Our standard terms of payment for companies with approved credit are net 30 days from the date of invoice. Our terms of payment for customers who do not qualify for net 30-day terms are cash in advance at the time the load is sent to us. A late charge of 1.5% per month may be assessed on any unpaid invoices after the due date. Credit references must include logistics trade references with whom you are currently working. if you do not have logistics trade references, please provide references with whom you have open trade accounts in amounts similar to the credit limit you will need with WLX|WLE. Do not give personal credit references such as credit cards or secured credit such as auto loans and mortgages. The original completed and signed form can be submitted below, emailed to credit@wlxtrans.com, or mailed to:

WLX|WLE
Attn: Credit Department
2301 McGee St, Suite 850
Kansas City, MO 64108

If you have any questions, please contact our credit department at credit@wlxtrans.com or you can call 816-746-2800.

Legal Name of Business

Doing Business as

Physical Address
Address line:

City:

State:

Zip:

Billing Address (if Different)
Address:

City:

State:

Zip:

Tax-ID and Business Type

Dun & Bradstreet Number

Owner Name(s) and Address and % Ownership
Owner 1
Owner 1 Name:

Owner 1 Address:

Owner 1 City:

Owner 1 State:

Owner 1 Zip:

Owner 1 % Ownership:

Owner 2 (if applicable)
Owner 2 Name:

Owner 2 Address:

Owner 2 City:

Owner 2 State:

Owner 2 Zip:

Owner 2 % Ownership:

Owner 3 (if applicable)
Owner 3 Name:

Owner 3 Address:

Owner 3 City:

Owner 3 State:

Owner 3 Zip:

Owner 3 % Ownership:

Parent Company Name and Address
Parent Company Name:

Parent Company Address:

Parent Company City:

Parent Company State:

Parent Company Zip:

Credit Limit Requested

WLX|WLE Sales Rep

Phone Number

Website

Billing and Accounts Payable Information

Invoice Receipt Preference
EmailEDIPortalMail

A/P Contact

Email Invoices to

A/P Email

Email to set up other invoicing Methods

A/P Phone Number

Principal Trade References

Principal Trade Reference 1
Trade Reference 1 Company Name:

Trade Reference 1 Address:

Trade Reference 1 City:

Trade Reference 1 State:

Trade Reference 1 Zip:

Trade Reference 1 Email:

Trade Reference 1 Phone:

Principal Trade Reference 2
Trade Reference 2 Company Name:

Trade Reference 2 Address:

Trade Reference 2 City:

Trade Reference 2 State:

Trade Reference 2 Zip:

Trade Reference 2 Email:

Trade Reference 2 Phone:

Principal Trade Reference 3
Trade Reference 3 Company Name:

Trade Reference 3 Address:

Trade Reference 3 City:

Trade Reference 3 State:

Trade Reference 3 Zip:

Trade Reference 3 Email:

Trade Reference 3 Phone:

Bank Reference

Name of Bank

Account Number

Contact Name

Phone

Acceptance of Credit & 30-day payment terms:

The above information is accurate, and the creditor is authorized to contact the bank and trade references supplied in order to establish the creditworthiness of the applicant. TERMS OF CREDIT SALE: If credit is approved, these terms shall apply and form our credit agreement. Payment is due thirty (30) days from the date of our invoice. Non-payment and late payments shall, in either case, be deemed an event of default. The payment remittance shall be payable to the named service provider identified on our invoice. In the event of a default, the named applicant shall pay our costs of collection, including actual attorney fees, court costs, insufficient funds charges, we incur, and/or collection agency fees, regardless if a lawsuit is initiated. As an express condition of approving the credit application and extending credit terms of sale, the applicant shall not withhold any payment due or set-off any alleged freight loss or damage claim(s). If a collection action is required to enforce the terms of this Credit Agreement, the undersigned shall submit to the jurisdiction of the state or federal courts located in Missouri. All motor carrier services are subject to the Bill of Lading, Rate Confirmation(s). By signing below, you have acknowledged that you have read the terms and conditions of credit herein, covenant that you are authorized to enter into this Credit Agreement on behalf of the applicant, and will be bound to the terms contained herein.

Signed for and on behalf of the Customer
Name of Signatory

Position Held

Digital Signature

Date

Credit Application

INSTRUCTIONS

Billing and Accounts Payable Information

Principal Trade References

Bank Reference

(800) 448-0504