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CREDIT APPLICATION
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Business:
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Contact Email:
Company Name:
Federal ID:
Address:
City:
State:
Zip:
Phone:
Fax:
Billing Address:
City:
State:
Zip:
Phone:
Fax:
Contacts:
Dispatch:
Email:
Phone:
Fax:
Traffic/Operations Mgr:
Email:
Phone:
Fax:
Accts Payable:
Email:
Phone:
Fax:
Dunn & Bradstreet #:
References:
Name:
City:
State:
Zip:
Email:
Phone:
Fax:
Name:
City:
State:
Zip:
Email:
Phone:
Fax:
Name:
City:
State:
Zip:
Email:
Phone:
Fax:
List any special drayage requirements, accessorial requirements,
or invoicing specifications your company has:
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AFFTON
420 Gimblin Road, Saint Louis, MO 63147
(314) 388-9700 FAX: (314) 388-9701
EMail: CustomerService@AfftonTrucking.com
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Copyright Affton Trucking 2002-2010 All rights reserved