New Customer Application Company Information Company Name * Company Website Company Phone Number * Just enter digits; NO DASHES/SPACES Company Fax Just enter digits; NO DASHES/SPACES Physical Address * StateArmed Forces AmericaArmed ForcesArmed Forces PacificAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNew HampshireNew JerseyNew MexicoNew YorkNevadaNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Mailing Address Same as Physical Address? YesNo Mailing Address * StateArmed Forces AmericaArmed ForcesArmed Forces PacificAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNew HampshireNew JerseyNew MexicoNew YorkNevadaNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Primary Contact Information Name * Phone * Just enter digits; NO DASHES/SPACES Email * Fax Number Just enter digits; NO DASHES/SPACES Other Personnel Authorized to Place Orders Name Last Email Phone Just enter digits; NO DASHES/SPACES Title -Add Authorized Personnel About Your Company Company Type * CorporationPartnershipSole ProprietorshipLLP/LLC Federal Tax ID * Contractor's License # Sales Tax Exempt?* YesNo Upload Copy of Current Sales Tax Exemption Certificate * Number of Years in Business* Accounts Payable Contact * Last Accounts Payable Phone Number * Just enter digits; NO DASHES/SPACES Accounts Payable Email * Do You Require Use of Purchase Orders? YesNo Account Type Select Account Type* Apply for CreditPlace Credit Card on File PERSONAL GUARANTY "Whitney" means Whitney Transport, LLC, Whitney Logistics, LLC, Whitney Materials, LLC, Whitney Logistics Solutions, LLC d/b/a Whitney Solutions, Whitney Transport of South Carolina, LLC, and/or Whitney Equipment Leasing, LLC. Anyone seeking an open account with Whitney must provide the following Personal Guaranty when any one of the following is true: The organization seeking an open account is an individual or sole proprietor and is therefore NOT organized as a corporation or partnership. The organization seeking an open account is a corporation or partnership less than (1) one year in age. The organization seeking an open account is a corporation or partnership that has been notified by Whitney that a Personal Guaranty is required as a condition of opening the account. Has AliedTk notified you that a Personal Guaranty is Required? YesNo
