Yr CW Credit App
Yr CW Credit App
Please place an “X” by the following YRC Worldwide Inc. operating company(ies) that you would like to apply for credit
and/or an extension of credit:
5. If a business entity, please provide full names and home addresses of officers, partners, or owners if you want such
information to be considered:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
The individual(s) whose information is provide above, who is either a partner or a sole proprietorship of the credit applicant,
recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, by
his or her execution below consents to and authorizes the use of a consumer credit report of such individuals by the above
named business credit grantor, from time to time as may be needed, in the credit evaluation process.
7. The undersigned has filed or has not filed for or been the subject of a bankruptcy as a company or as an individual.
Has filed Chapter 7 Chapter 11 Chapter 13 Date filed _____________________________________
9. All orders are subject to credit approval. The undersigned acknowledges that the extension and maintenance of credit to the
undersigned is at the sole discretion of Carrier(s).
10. The management of Carrier(s) may, at their discretion, establish a fee for any customer checks which are returned for non-
sufficient funds or are dishonored for any reason.
11. Mail freight bills to ____________________________________________________________________________________
Address _____________________________________________________________________________________________
Street/P.O. box City State/Prov Zip/Postal Code
A/P Individual ____________________________ Phone ________________________ Fax _________________________
12. CURRENT FINANCIAL STATEMENTS, TRADE, AND BANK REFERENCES MAY BE REQUIRED WITH THIS
APPLICATION OR AT A LATER TIME IF DEEMED NECESSARY BY CREDIT RISK TO MAKE A DECISION
REGARDING CREDIT AVAILABILITY.
14. The applicant acknowledge(s) the payment terms of Carrier(s) to be: All accounts are due and payable 15 days from
invoice date; and agrees to remit payment in accordance therewith. In the event of a change in the Applicant’s credit
condition, Carrier(s) reserves the right to apply security to delinquent balances, and/or to require additional security as
deemed appropriate. The undersigned further acknowledge(s) that the foregoing payment terms are subject to change without
notice.
15. The applicant agrees that in order to induce Carrier(s) to extend credit, the proper venue and situs for any legal action brought
by either party arising out of this Application shall be the District Court of Johnson County, Kansas or the U.S. District Court
for the District of Kansas located in Wyandotte County, Kansas.
17. The applicant is applying for extension of credit. The above information, which the applicant warrants to be true and
correct, is submitted as a basis for considering this Application. Carrier(s) is authorized to investigate relationships with trade
suppliers or financial institutions for the purpose of establishing credit.
19. ________________________________________
Print Signatory
20. _________________________________________
Signature of President / Officer / Partner / Owner
To expedite the processing of the credit application, please fax the completed forms to 913-234-8987.