We look forward to shipping freight for you. Please fill out the credit application below in its entirety. Our team will promptly contact bank and trade references so that we can establish you as a customer.

Shaker Credit Application

"*" indicates required fields

Your Information

Enter contact details about the person completing this application

Your Name*

First Last

Your Email*

Your Phone*

Applicant Information

Company Name*

Description of Business*

Type of Business*

Year Created*

Taxpayer ID Number*

Website

Billing Email*

Business Phone*

Business Fax

Business Physical Address*

Street Address Address Line 2 City State ZIP Code

Business Billing Address*

Same as previous

Street Address Address Line 2 City State ZIP Code

Corporate Officers of Applicant Business

List the full names of the following positions:

President/CEO*

First Last

Treasurer/VP Finance/CFO*

First Last

Operations Manager/COO*

First Last

Accounts Payable Manager*

First Last

Transportation Trade References

Please provide the name and contact information for at least three of your suppliers of major products/services so that we can assess your creditworthiness and payment history.

Trade Reference 1: Business Name*

Trade Reference 1: Contact Person*

First Last

Trade Reference 1: Contact Email*

Trade Reference 1: Contact Phone*

Trade Reference 1: Business Address*

Street Address Address Line 2 City State ZIP Code

Trade Reference 2: Business Name*

Trade Reference 2: Contact Person*

First Last

Trade Reference 2: Contact Email*

Trade Reference 2: Contact Phone*

Trade Reference 2 : Business Address*

Street Address Address Line 2 City State ZIP Code

Trade Reference 3: Business Name*

Trade Reference 3: Contact Person*

First Last

Trade Reference 3: Contact Email*

Trade Reference 3: Contact Phone*

Trade Reference 3: Business Address

Street Address Address Line 2 City State ZIP Code

Bank References

Bank Reference 1: Bank Name*

Bank Reference 1: Contact Person*

First Last

Bank Reference 1: Contact Email*

Bank Reference 1: Contact Phone*

Bank Reference 1: Account Number*

Account Types Held: Bank 1*

Checking

Savings

Loan

Bank Reference 1: Business Address*

Street Address Address Line 2 City State ZIP Code

Bank Reference 2: Bank Name*

Bank Reference 2: Contact Person*

First Last

Bank Reference 2: Contact Email*

Bank Reference 2: Contact Phone*

Bank Reference 2: Account Number*

Account Types Held: Bank 2*

Checking

Savings

Loan

Bank Reference 2: Business Address*

Street Address Address Line 2 City State ZIP Code

Acknowledgement

Net terms are 21 days from date of invoice. In the event of failure to pay within those terms, The Shaker Group d/b/a Shaker Logistics reserves the right to pursue ALL amounts owed to The Shaker Group d/b/a Shaker Logistics including interest, in the court of the county of The Shaker Group's choosing. Additionally, ALL customary and reasonable court fees, attorney's fees, and other associated fees incurred to recover outstanding balances will be paid by the defendant. All shipments subject to additional terms and conditions found at www.shipwithshaker.com.

Date*

This field is for validation purposes and should be left unchanged.