Customers Credit Application

HomeCustomersCredit Application

Thank you for the opportunity to earn your business.

We look forward to serving you in the future!

Please complete the following form in order to process your application as quickly as possible.

Company Name*
Billing Address*
Street Address Address Line 2 City State ZIP Code
Payment Method*
- Check
- ACH
- Credit Card
Banking Information*
- USA
- Foreign (Invoices sent in US Dollars and subject to a $30.00 fee)
Invoice/Paperwork Requirements
- Copy of BOL/POD (Meadow Lark will not provide originals)
- Rate Confirmation
- PO#
- BOL#
- PRO#
- LOAD#
Preferred Invoice Submission*
- Email
- Website Upload
- EDI
Other Invoice/Paperwork Requirements
All other special instructions for billing:
Billing Method*
- Line-Haul
- CWT-Counterweight
Customers Offered Terms*
Meadow Lark Net Terms is 30 Days
- 30
- 45 - Requires Approval
- 60- Requires Approval
- Project Billing - Requires Approval
Accounts Payable Contact(s)*
Name Title Phone Email
AUTHORIZATION
Name*
First Last
Title*
Date*
CAPTCHA

Over the Road Apparel is committed to driving your company’s image.
Dress your drivers for success in OTR apparel!