Application for Credit

This application must be completed in detail. Return fully completed form to: Pacific Air Cargo
P.O. Box 881900 Los Angeles, CA 90009 or Fax to: (310) 645-5290. Application submitted by:

Business Information

Company Name

Tax Payer ID

Type

Corp

Partnership/Proprietorship

State of Incorporation

Since

Physical Address

City

State/Province

Zip/Postal

Billing Address

City

State/Province

Zip/Postal

Phone Number

Fax Number

Email address for billing

IAC Certificate number

Information on Officers

President/CEO

Treasurer/VP Finance

Operations Mgr.

Accts Payable Mgr.

For Proprietorships/Partnerships

Owner Name

Percent Ownership

Home Address

SS#

Reference Information

Bank Reference

Bank Name

Checking A/C #

City/State/Zip

Phone

Fax

Airline Reference

Airline Name

Account #

City/State/Zip

Phone

Fax

Trade References

Name #1

Account #

City/State/Zip

Phone

Fax

Name #2

Account #

City/State/Zip

Phone

Fax

Name #3

Account #

City/State/Zip

Phone

Fax

Estimations of Sales with Pacific Air Cargo

Estimated ANNUAL SALES volume expected with PAC($):

Estimated CREDIT LIMIT REQUESTED with PAC($):

HOW DID YOU HEAR ABOUT US? HOW DID YOU HEAR ABOUT US?

Release and Terms

Applicant Company Name

The undersigned, acting as the duly authorized agent/representative for the above named company, certified that the information contained on this application is true to the best of his/her knowledge. Further, the undersigned authorized Pacific Air Cargo, its agents and/or assigns to investigate and inquire of any other sources deemed appropriate for the determination of the applicant company’s credit worthiness and business history.

Pacific Air Cargo trade terms are net payment in full of all invoices within 21 days of the date of billing. All unpaid balances after 30 days are subject to a service charge of 1.5% per month. In the event that it becomes necessary for Pacific Air Cargo to refer an account to a collection agency or attorney to enforce payment, all reasonable legal fees, applicable and allowable service charges will be paid by the Debtor Company.***All contract rates may be rescinded and full tariff may apply to past due invoices.

Signature

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Date

TITLE

AUTHORIZATION TO BANK

In order to obtain credit with Pacific Air Cargo (PAC), we must access information from your bank.

By signing below you give PAC authorization to verify your credit rating with your bank.

Authorized by:

Signature

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Date

Company Name