FOR SHIPPERS TECHNOLOGY ABOUT CONTACT CARRIERS REQUEST A QUOTE Home | Shippers | Credit Application Customer Credit Application Company Name * Phone * (###) ### #### Fax (###) ### #### Email Address * Shipping Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Billing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Type of Entity * Individual Partnership S-Corp C-Corp LLC Foreign Entity Accounts Payable Contact * First Name Last Name Line of Business * Years in Business * Billing Method * Email Fax Mail BOL's Required for Billing? * Yes No Preferred Contact Name * First Name Last Name Phone * (###) ### #### Email * List Three (3) Trade References (One trucking company, if possible) Reference 1 * Phone * (###) ### #### Reference 2 * Phone * (###) ### #### Reference 3 Phone * (###) ### #### MTL Account Manager * Select One Joe Etheredge Taylor Cline Colin Shroeder Jesse Frye Barry Campbell Nicole Locke Krystina Kulakevich Kyle Smith Ashlee Marcum Leon East Tad Davis Amy Huskey Joe Campola Fernando Puentes Authorization and Acceptance I Certify the information above is correct and authorize references to release any account information requested. I agree to abide by all the terms of the National Motor Freight Classification rules, tariffs, and the conditions of the bill of lading contract, as well as, terms and policies as indicated on the terms and policies page of this Credit Application. * Your Name * First Name Last Name Title * Acceptance * I Accept FOR SHIPPERS More stability. Less stress. The best shipping solution for your business. LEARN MORE FOR CARRIERS Common goals. Mutual respect. The best way to drive your business forward. SIGN UP Credit Application New Carrier Sign-Up Insurance Certificate Request Weekly Fuel Prices Agents Wanted Shippers Capacity Modes Industries Compliance Credit Application Carriers About MaxTrans Our Story New Gallery Technology Careers Contact MaxTrans REQUEST A QUOTE © 2021 MaxTrans Logistics A GuideOn Group Company Site by Maycreate