Customer Questionnaire – Axar Logistics

2424-A, W Devon Ave, Chicago, Illinois 60659
+1.833.228.1728
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Logistics
Carriers
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Contact

Customer Questionnaire

Company Name *

Physical Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Billing Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Estimated Maximum Load Value *

Our default billing is via email (Copies of bills of lading can be attached). If you require billing another method, please select one of the following

What email address should we use for invoices? *

EDI Contact Name *

EDI Contact Number

Invoicing Fax Number *

Do any of the FDA's Food safety Modernization Act (FSMA) regulations apply to the commodities on the loads that will be tendered to Axarlogistics by your company?

COMPANY CLASSIFICATION

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Year Business Started *

D & B Number *

Company Type

Owner's Name *

Other Type *

What transportation services do you currently use? (Check all that apply)

Truck Load
LTL
Intermodel / Rail
Drayage
Domestic Air / Expedite
International Air / Expedite
Cross Border Canada
Intra Canada
Cross Border Maxico
US Custom
Oversize / Overweight
Final Mile
Warehousing
Project Logistics

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Stock Symbol (if publicly traded) *

Estimated full truckloads a week

ACCOUNTS PAYABLE

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Accounts Payable Contact *

Accounts Payable Phone

Accounts Payable Email *

Will we invoice other locations?

BILLING INFORMATION

At Axarlogistics, we’re trying to reduce the use of paper to protect the environment. Please keep this in mind when making your selections regarding billing options

Will we invoice a 3rd party payment processor?

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May we exclude BOLs?

Do you have the ability to pay via ACH?

Do you require load tenders?

Do you require pallet exchange?

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Do you reimburse for unloading?

Do you have additional requirements?

BANK REFERENCE (REQUIRED FOR MAXIMUM CREDIT)

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Bank Name *

Bank Representative *

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Bank Phone Number

Checking Account Number *

Email *

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Bank Transit Number (Canada Only) *

Fax Number *

CREDIT REFERENCES (REQUIRED FOR MAXIMUM CREDIT)

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Company Name *

Contact Name *

Contact Email *

Phone Number

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Company Name *

Contact Name *

Contact Email *

Phone Number

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Company Name *

Contact Name *

Contact Email *

Phone Number

Name *

First

Last

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Position *

Date Signed

Email Address *

As a leading logistics service provider, we strive to offer customized solutions that meet the unique needs of each of our clients.

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Contact Details

info@axarlogistics.com
+1.833.228.1728
2424-A, W Devon Ave, Chicago, Illinois 60659

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