CREDIT APPLICATION AND AGREEMENT Please fill out the following fields to start your setup request. Step 1 of 4 25% Applicant InformationApplicant Full Name(Required)Company Name(Required)Title(Required)Email(Required) Phone(Required)Fax NumberAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Billing InformationBilling Information(Required)Phone(Required)Email(Required) Do you accept invoices via email?(Required)YesNoIf yes, please provide appropriate email address above.Do you require a PO# and POD for invoicing?(Required)YesNoWill you pay by ACH or ECF electronic transfer?(Required)YesNoIf so, we will provide bank routing number to you in our Notice of Assignment Form.Federal ID(Required)Company Website(Required) Send R&R Global Logistics, LLC's Insurance and Notice of Assignment sent to the Accounts Payable email address you provided. Please check this box if you would like a copy of R&R Global Logistics, LLC’s Insurance and Notice of Assignment sent to the Accounts Payable email address you provided. Business VerificationMembership in trade associations?Party to any litigation?List any judgments against the company If you wish to submit your request manually, please click here to download the agreement. Fax completed and signed agreements to (678) 252-5193 or send via email to accounting@rrgls.com. Bank ReferencesBank References(Required)Account Number(Required)Contact(Required)Phone Number(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you had account(s) at the listed bank?(Required)Name any other banks (address, contact person/phone number) where you conduct business.(Required) Business ReferencesReference #1Company(Required)Contact Name(Required)Phone Number(Required)Length of Relationship(Required)Nature of Relationship(Required)Reference #2Company(Required)Contact Name(Required)Phone Number(Required)Length of Relationship(Required)Nature of Relationship(Required) Terms & ConditionsConsent(Required)(1.)Applicant certifies that information furnished in this application is current and accurate. The term of this agreement shall be for (1) year and will automatically renew for successive (1) year periods. However, either party may terminate this agreement on 30 days written notice to the other party. If the parties continue to conduct business after termination, the provisions of this agreement will continue to apply. (2)By accepting the terms of this agreement, Applicant acknowledges that the individual executing this agreement has authority to do so and further authorizes BROKER to contact each credit/bank reference provided. (3)The entity or individual signing this agreement is an authorized agent for Applicant authorized to sign this Agreement. (4)Applicant agrees and accepts each of the Terms and Conditions found on the R&R Global Logistics website at https://www.rrgloballlc.com/terms-and-conditions. (5)Applicant affirms that it is solvent, is not currently a party to any bankruptcy proceeding, is not being dissolved or otherwise liquidating its assets and can satisfy all financial obligations. Applicant affirms that there are no open judgments, suits, or liens against Applicant and that none has been threatened which would affect Applicant’s ability to pay for services. (5) If credit is extended, applicant agrees to remit all payment to BROKER’S factoring company, Strato Pay within the receiving terms of 30 days upon receipt of invoice date. Notice of Assignment will be emailed once credit is extended. (6)Finance charge of 1.5% per month (18% annum) may be added to accounts 30 days or more past due. (7)If BROKER utilizes the services of a collection agency and/or attorney to collect any amounts due under this Agreement from Applicant, Applicant agrees to pay all associated collection costs, attorney fees, and court costs. (8)Applicant will promptly notify BROKER of any change in ownership in writing. (9)Applicant understands that BROKER is a transportation broker who only arranges for the transportation of freight by an independent third-party motor carrier. (10)In the event of cargo loss or damage, Applicant may present a claim to BROKER for BROKER’s presentation to the applicable motor carrier as required under 49 CFR 370.1 et seq within 2 weeks via email or postal mail from the date of such loss, shortage or damage, which for purposes of this agreement shall be the delivery date or, in the event of non-delivery, the scheduled delivery date. Applicant agrees that neither BROKER or BROKER’ contracted motor carriers shall be liable to Applicant for consequential/special damages without prior written notice of the specific risk of loss and said damages, approximate financial amount and Applicant obtained BROKER’ written agreement for such damages in response to said written notice. Applicant agrees to assist BROKER should BROKER agree to pursue Applicant’s claim on Applicant’s behalf, including confirming the validity of the claim and claim amount. (11) Applicant understands motor carriers under contract with BROKER are contractually required to maintain cargo loss and damage liability insurance in the amount of $100,000 per shipment as well as the minimum public (auto) liability required by law. By accepting the terms of this agreement, Applicant acknowledges that loads valued in excess of $100,000 will not be offered without first giving written notice to allow BROKER and/or the contracted motor carrier the opportunity to arrange for increased insurance limits. Failure to provide written notice will result in applicant’s loads not being insured to the extent the value exceeds $100,000. Unless otherwise agreed in writing applicant assumes all risk of loss to the extent that value exceeds $100,000.00. (12)The state courts located in Dekalb County, of Atlanta, GA shall have exclusive jurisdiction and shall be the exclusive venue with respect to any claim, counterclaim, or dispute arising in connection with any transactions, loads, or other business between BROKER and Applicant. (13)The Applicant Agreement is expressly incorporated by this reference, into all transportation and other related agreements entered into by the parties, verbal or written. (14)Applicant grants permission to BROKER to contact any or all references, trade and bank, at any time before or after extending credit to Applicant, and that the Bank(s) is authorized to disclose account numbers, changes in account numbers (including without limitation closing of any accounts) as well as account names, account and loan balances, account and loan histories as well as any other credit information requested. I have read and understand the terms of the Agreement and understand that by clicking ‘ESIGN & Submit’ below, I am entering into a legally enforceable contract.(Required)