Distribution Network | Client Onboarding

A. COMPANY INFORMATION

Company Name *

Primary Contact *

Business Address *

City *

State *

ZIP *

Billing Address is the same as Business Address

Telephone *

Fax

Billing Email *

Accounts Payable Contact *

Type of Business *

Corporation LLC Partnership Sole Proprietor Other

Parent Company

Branches

Ownership Changed in Past Year?

Years in Business

Are You Current?

Requested Freight Payment Schedule

D&B Number

B. ACCOUNTING INFORMATION

Contact Name *

Telephone *

Contact Email *

Invoicing Requirements

C. TRADE REFERENCES

Please list companies you have purchased from within the last year. Transportation references are preferred when available.

Reference 1

Company Name

Contact

City

State

Telephone

Reference 2

Company Name

Contact

City

State

Telephone

Reference 3

Company Name

Contact

City

State

Telephone

TERMS & CONDITIONS / AUTHORIZATION

The applicant executing this Application and Agreement (“Customer”) agrees that payment for all services is subject to the following terms and conditions:

Customer agrees that all amounts due for services provided by Distribution Network and/or any of its subsidiaries or affiliates, collectively the “Company,” are payable to Distribution Network Inc.
Customer agrees that all amounts due are not payable in installments, but are payable Net 15 days from the date of invoice. Company reserves the right to demand payment of all past-due freight charges as a precondition for releasing any shipment at destination. This right includes the right to demand payment upon delivery of shipments at any time. If any amount due is not paid within said period, a delinquency charge of 5% per month of the delinquent balance shall be added to the sum due.
If the account becomes delinquent and is turned over for collection, Customer agrees to pay all costs of collection, including reasonable attorney fees and court costs. Customer will become C.O.D. if Customer fails to pay according to terms.
Customer agrees to notify Company by certified mail of any changes in ownership and further agrees to be liable for losses incurred as a result of failure to provide such notice.
Customer authorizes Company and/or its credit agencies to investigate credit history, bank references, and other information required to process this application and as deemed necessary in the future.
The person signing this document represents that they are authorized to execute this agreement on behalf of Customer.

I have read and agree to the Terms & Conditions and authorize Distribution Network to process this application.

Create my Distribution Network Client Portal account upon approval.

Officer, Owner, or Partner (Print) *

Title *

Date *

Signer Email *

Electronic Signature Agreement

By checking the box below and signing this application electronically, you agree that your electronic signature is the legal equivalent of your handwritten signature on this Customer Credit Application and Agreement, and that you consent to conduct this transaction and receive related records and disclosures electronically, in accordance with the U.S. Electronic Signatures in Global and National Commerce (E-SIGN) Act and applicable state law. You may withdraw this consent or request a paper copy of this agreement by contacting admin@DNlogistic.com.

I agree to use electronic records and signatures, and I intend my electronic signature below to be legally binding.

Signature *

1. CUSTOMER INFORMATION

First Name *

Last Name *

Street Address *

City *

State *

ZIP Code *

Phone Number *

Email Address *

2. ADDITIONAL CONTACT (OPTIONAL)

Contact Name

Phone Number

Email Address

3. BILLING INFORMATION

Billing information is the same as Customer Information

4. TERMS & CONDITIONS

The applicant executing this application and agreement agrees that payment for all services is subject to the following terms and conditions:

Customer agrees that all amounts due for services provided by Distribution Network and/or any of its subsidiaries or affiliates, collectively referred to as the Company, are payable to Distribution Network Inc.
Customer agrees that all amounts due are not payable in installments and are payable Net 15 days from the date of invoice. Distribution Network Inc. reserves the right to demand payment of all past-due freight charges as a precondition for releasing any shipment at its destination. This includes the right to demand payment upon delivery of a shipment at any time. If an amount is not paid within the stated period, a delinquency charge of 5% per month of the delinquent balance may be added to the amount due.
If the account becomes delinquent and is turned over for collection, the customer agrees to pay all collection costs, including reasonable attorney fees and court costs. The customer may be placed on C.O.D. payment terms if the customer fails to comply with the agreed payment terms.
Customer agrees to notify Distribution Network Inc. by certified mail of any change in ownership and agrees to remain liable for losses incurred because of a failure to provide the required notification.
Customer authorizes Distribution Network Inc. and/or its credit agencies to investigate credit history, bank references, and other information required to process this application or considered necessary in the future.
The person signing this document confirms that they are an authorized representative and have the authority to execute this agreement.

I have read and agree to the Distribution Network Inc. Terms & Conditions.

Create my Distribution Network Client Portal account upon approval.

5. AUTHORIZATION

By signing below, I certify that the information provided is accurate, I am authorized to establish this account, and I agree to the Distribution Network Inc. Terms & Conditions.

Full Legal Name *

Date Signed *

Electronic Signature Agreement

By checking the box below and signing this application electronically, you agree that your electronic signature is the legal equivalent of your handwritten signature, and that you consent to conduct this transaction and receive related records electronically, in accordance with the U.S. E-SIGN Act and applicable state law. You may withdraw this consent or request a paper copy by contacting admin@DNlogistic.com.

I agree to use electronic records and signatures, and I intend my electronic signature below to be legally binding.

Signature *

Application Received

Onboarding Received