AMBEST Credit Application

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Applicant Information

Company Legal Name *

Doing Business As

Business Phone *

First Name *

Last Name *

Title *

Email Address *

Confirm Email Address *

Country *

Business Physical Address *

Address Line 2

City *

State / Province *

Postal Code *

Total # of trucks in your fleet *

Total # of drivers *

Team Drivers / Slip Seat

Business Information

Legal Structure *

Business Description *

Year Established *

Parent Company

Promotional Code

Taxpayer ID *

Please Select An Identifier (MC, FF, or DOT #) *

Annual Gross Revenue *

Industry *

Payment Information

Account Type *

Projected Spend *

Payment Method *

Days Of Payment *

Bank Information

Financial Institution *

Checking Account # *

Confirm Checking Account # *

ABA Routing # *

Confirm ABA Routing # *

Personal Guaranty

Providing a personal guaranty from a qualified officer or owner of Company or other person or entity (“Guarantor”) is required and Card Issuer will rely on this unconditional guaranty of Guarantor to pay obligations of the Company in approving this application and extending credit to Company. To provide a personal guaranty, Guarantor must provide the information requested and make the representations and warranties stated below. Checking the Authorized Signer box constitutes Guarantor's signature and acceptance by Guarantor of the terms and conditions of this personal guaranty and the Terms & Conditions below.

Guarantor unconditionally, absolutely and irrevocably guarantees the obligations of Company with respect to the Business Charge Card Agreement, including payment in full of all amounts owing on the account. This guaranty is a guaranty of performance and payment and not merely of collection, and will continue until performance in full of all of Company's obligations under the Business Charge Card Agreement. Guarantor’s obligations are primary obligations for which Guarantor is the principal obligor and will not be limited or discharged by an act of Company, including any incapacity or disability, or bankruptcy or insolvency, of Company. Guarantor’s liability under this Guaranty will not be affected if Card Issuer modifies any term or condition of the Business Charge Card Agreement, or releases any person or entity from liability or any collateral for the guaranteed obligations. Card Issuer is not required to pursue any remedy or recourse, including against Company or any other guarantor, before enforcing this Guaranty. Guarantor waives all notices and suretyship defenses, including rights to presentment or demand for payment, and notices of dishonor, non-payment and protest. Guarantor will pay to Card Issuer upon demand any amount owed by Company under the Business Charge Card Agreement.

Your Residential Country *

Your Residential Address *

Your Residential City *

Your Residential State / Province *

Your Residential Postal Code *

Social Security Number *

Confirm Social Security Number*

Date of Birth *[ 4/20/2024 ]

Residential Phone *

Mobile Number

Terms & Conditions

Please check the box in the Authorized Signer section below

Authorized Signer

By clicking "Submit Application", you represent and warrant that you are an owner, officer, or partner of the company with the authority to bind the company to the terms of this offer. You understand that, if you completed the Personal Guaranty section, your personal credit will be used in making a credit decision and authorize Card Issuer to obtain a consumer report. In the event your application is denied based on information in your credit report, you authorize the Card Issuer to report the reason for denial to you. You acknowledge (i) that you have read in full our Credit Disclosure and Terms & Conditions, including the Business Charge Card Agreement, above and agree that these terms shall govern your account, (ii) as Guarantor that you agree to the Personal Guaranty above, including the representations and warranties it contains (if you completed the Personal Guaranty Section), (iii) you represent and warrant that the information provided is correct and that you are authorized to enter into this agreement on behalf of Company, and (iv) if applicable, Card Issuer may honor account maintenance requests and other instructions from the sponsor of your card program which are made on your behalf.

Any use of credit offered by Card Issuer shall constitute: (i) acceptance by you on behalf of Company of the Terms & Conditions, including the Business Charge Card Agreement, and (ii) if applicable, acceptance by you as Guarantor of the Personal Guaranty and the Terms & Conditions, including the Business Charge Card Agreement.