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Next Step

Credit applications are required for all customers not in the CTII system and all inactive customers. Completed forms should be given to your sales rep for review and submission to the Pricing Department, or email your credit application to creditapp@centraltransport.com.

Check to see required fields:

Billing Information

Company Name: {{validation.errors[0].displayedMessage }}

Contact Name: {{validation.errors[1].displayedMessage }}

Address: {{validation.errors[2].displayedMessage }}

Residental? Yes No

Phone #: {{validation.errors[4].displayedMessage }}

Extension: {{validation.errors[28].displayedMessage }}

Email: {{validation.errors[5].displayedMessage }}

Office/Shipping Information

Shipper Company Name: {{validation.errors[6].displayedMessage }}

Contact Name: {{validation.errors[7].displayedMessage }}

Address: {{validation.errors[8].displayedMessage }}

Residental? Yes No

Phone #: {{validation.errors[10].displayedMessage }}

Extension: {{validation.errors[29].displayedMessage }}

Email: {{validation.errors[11].displayedMessage }}

Check if same as billing information:

General Information

Federal Tax Id: {{validation.errors[12].displayedMessage }}

Corporation State

Company Web Site {{validation.errors[13].displayedMessage }}

At present location since {{validation.errors[14].displayedMessage }}

Credit Amount {{validation.errors[15].displayedMessage }}

Contact Information

Contact {{validation.errors[16].displayedMessage }}

Title {{validation.errors[17].displayedMessage }}

Email {{validation.errors[18].displayedMessage }}

Phone #: {{validation.errors[19].displayedMessage }}

Extension: {{validation.errors[31].displayedMessage }}

Are you an internet shipper via Craigslist or Ebay? Yes No

Are premises leased? Yes No

Company Composition? Individual Partnership Corporation LLC

Bank Information

Bank Name: {{validation.errors[20].displayedMessage }}

Bank Address: {{validation.errors[21].displayedMessage }}

Branch Name: {{validation.errors[22].displayedMessage }}

Account #: {{validation.errors[24].displayedMessage }}

Account Type: {{validation.errors[25].displayedMessage }}

Contact Email: {{validation.errors[26].displayedMessage }}

Phone #: {{validation.errors[27].displayedMessage }}

Extension: {{validation.errors[30].displayedMessage }}

Terms & Conditions

By submitting this application, you authorize Central Transport to make inquiries into the banking and business/trade references that you have supplied. You also agree to abide by the terms and conditions of the CTII 100 Series Rules Tariff, unless other terms and conditions have been agreed upon, in writing, with Central Transport.
I agree to the terms as stated above.

Applicant Signature - {{signatureDate}}

PLEASE SIGN BELOW

Your business is our business

Central Transport helps to build and shape the United States by transporting the goods businesses need to run, and the goods they produce. We are proud to provide such critical services which touch every facet of everyday life. It is our goal to help your business be as successful as possible by making sure your freight gets to its destination safely and when needed – at a cost you can afford. Thank you for choosing Central Transport.