DHL EXPRESS Credit Application: Customer
DHL EXPRESS Credit Application: Customer
DHL EXPRESS Credit Application: Customer
Please return the completed application to your DHL Sales Representative for processing and credit status
Customer
Legal Name: ____________________________________________________________________________________
Address: _______________________________________________________________________________________
Address: _______________________________________________________________________________________
Customer Contact
Name: _______________________________________ __ Title: __________________________________________
Information
Phone: _______________________________________ __ Fax: ___________________________________________
Email: ________________________________________________________________________________________
Invoicing Information
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
Accounts Payable
Name: ________________________________________ Email: _________________________________________
Contact Information
Credit References
Name: __________________________________________________________________________________________
You may also
Address:_________________________________________________________________________________________
attach a separate list
of trade references Phone: _________________________________________ Fax: ___________________________________________
Name: __________________________________________________________________________________________
Address: ________________________________________________________________________________________
Name: __________________________________________________________________________________________
Address: _______________________________________________________________________________________
Estimated Spend
$ Per Month: ___________________________________ Credit Limit Requested ($): ________________________
With DHL Per Month
Notice: The equal opportunity act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age, (provided the applicant has the
capacity to enter into a binding contract); because all or part of the applicants income derives from any public assistance program; or because the applicant has in good faith, exercised any right under the
Consumer Credit Protection Act.
To the best of my knowledge, the above statements are true. My signature below (A) indicates my permission to obtain credit information from the resources referenced, and (B) attests financial responsibility
and willingness to pay invoices in accordance with terms. CREDIT TERMS ARE NET 15 DAYS UNLESS SPECIFIED IN WRITTEN CONTRACT AGREEMENT.