Carrier Payment Terms Agreement Form

First & Last Name: *

Title *

Carrier Company Name: *

MC #: *

Email: *

Payment Options (please select)

Payment Options: *

Check Direct Deposit (ACH/EFT) Factor

First & Last Name: *

Street Address: *

City *

State/Province *

Zip/Postal Code *

UWT Payment Terms:

Quick Pay – 1.5% of Net funds due – Paid within 72 hours of delivery. ** Note: ALL invoices requested as "Quick Pay" must be recorded as so on EACH invoice.
7 Day – Standard terms (No fees) – Paid in 7 days after delivery. **

** Provided an invoice and all bills of lading have been received, are signed clean, and no claims are outstanding.

Attach Copy of Voided Check: *

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UWT Payment Terms:

Quick Pay – 1.5% of Net funds due – Paid within 72 hours of delivery. ** Note: ALL invoices requested as "Quick Pay" must be recorded as so on EACH invoice.
7 Day – Standard terms (No fees) – Paid in 7 days after delivery. **

** Provided an invoice and all bills of lading have been received, are signed clean, and no claims are outstanding.

Name of Factoring Company: *

Street Address: *

City *

State/Province *

Zip/Postal Code *

Attach Notice Of Assignment (Optional)

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UWT Payment Terms:

30 Day – Standard terms (No fees) – Paid in 30 days after delivery. **

** Provided an invoice and all bills of lading have been received, are signed clean, and no claims are outstanding.

Accounting Contact Information

Accounting Contact Name:

Fax Number:

Email Address

(This will be used to send your remittance for the deposits we make)

Please select advance terms:

No Advances Required Advances Required – 2% of advance – minimum of $20 US.

Preferred Method of Advance

Comchek Tchek

Authorization Agreement

I hereby authorize United World Cargo Limited to initiate automatic deposits to my account at the financial institution named below. I also authorize United World Cargo Limited to make withdrawals from this account in the event that a credit entry is made in error. Further, I agree not to hold United World Cargo Limited responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account.

This agreement will remain in effect until United World Cargo Limited receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to the Carrier Relations Department.

Please Check Box: *

I Agree

Digital Signature (Please type your full name)

Date *

Carrier Payment Terms Agreement Form was last modified: January 24th, 2018 by admin1

Carrier Payment Terms Agreement Form

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