Credit Application

Business Information

Billing Contact Information

Physical Address

Mailing Address

Banking Information

Trade References

Authorization

Applicant, by signature below, hereby authorizes Freight SideKick and its partner provider(s) to obtain financial information of Applicant from Applicant's financial institution(s) listed above, and from the business/trade references of Applicant listed above.

This authorization permits Freight SideKick to request and receive credit information, account balances, banking relationship information, and any other financial data necessary to establish credit terms. The undersigned hereby certifies that they are authorized to execute this application on behalf of the Applicant.

The information provided in this application is accurate and complete to the best of the Applicant's knowledge. The Applicant acknowledges that this information will be used to determine credit eligibility and agrees to promptly notify Freight SideKick of any material changes to the information provided.

Signature

Clear signature