8601 NW 27th.
Street, Doral, FL 33122 Phone 786 265-4800 Fax: 786 265-9406
Credit Application
Date: ______________________ New:
Account Number: ______________ Update:
Sales Representative: _____________________
General Info
Company Name: ____________________________________________________________________
Owner/CEO of Company: ____________________ In Business Since: _______________
Address: ___________________________________________________________________________
City: __________________ State: _______ Zip Code: ______________
Time in Physical Address: ___________
Phone Number: ___________________ Fax Number: ___________________
Type of Business: ___________________________________________________________________
Fed – ID Number: ______________________ Revenue Per Year: ___________________________
Number of Employees: __________________
Decision Maker: _____________________________ Email: _______________________________
Title: ______________________________________ Phone Number: _______________________
Pickup Contact: ______________________________ Email: _______________________________
Title: _______________________________________ Phone Number: _______________________
Accounts Payable: ____________________________ Email: _______________________________
Title: _______________________________________ Phone Number: _______________________
Bill Sent To: _________________________________ Email: _______________________________
Title: _______________________________________ Phone Number: _______________________
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8601 NW 27th. Street, Doral, FL 33122 Phone 786 265-4800 Fax: 786 265-9406
Bank Reference
Bank Name: _________________________________ Phone Number: ________________
Contact: ____________________________________ Account Number: _______________
Bank Name: _________________________________ Phone Number: ________________
Contact: ____________________________________ Account Number: _______________
Bank Name: _________________________________ Phone Number: ________________
Contact: ____________________________________ Account Number: _______________
Credit References
Company Name: ______________________________________________________________________
City/State/Zip Code: _______________________ Contact Name: _____________________________
Phone Number: ___________________ Contact E-mail Address: _______________________________
Company Name: ______________________________________________________________________
City/State/Zip Code: _______________________ Contact Name: _____________________________
Phone Number: ___________________ Contact E-mail Address: _______________________________
Company Name: ______________________________________________________________________
City/State/Zip Code: _______________________ Contact Name: _____________________________
Phone Number: ___________________ Contact E-mail Address: _______________________________
Credit Line Requested: _______________________________________
Special Requirements: ________________________________________________________________
Applicant Name (Print/Type): __________________________ Title: __________________________
Applicant E-mail: ___________________________________________
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8601 NW 27th. Street, Doral, FL 33122 Phone 786 265-4800 Fax: 786 265-9406
Clauses and Conditions
1. CARRIER shall have a lien on the goods tendered to CARRIER by Shipper, which lien which shall survive
delivery, for all charges owed by Shipper to CARRIER, including but not limited to freight, demurrage,
detention, damages, loss, charges, expenses and any other sums (including costs, customs fees, attorney fees,
and other fees for recovery the sums) chargeable to CARRIER or Shipper in connection with such goods,
regardless of whether the charges relate to goods which are presently in the possession of CARRIER or Goods
which are not presently in the possession of CARRIER, including both prior and subsequent shipments. CARRIER
shall have the right to sell the goods by public auction or private sale without notice to the Shipper in order to
enforce said lien. If on sale of the goods the proceeds are insufficient to cover the amount owed, CARRIER shall
be entitled to recover the balance from Shipper.
2. CARRIER shall have a lien on any goods in CARRIER's possession or control for any charges payable to
CARRIER under this Agreement and for all previously unsatisfied debts due to CARRIER by the Shipper,
consignee, or owner of the Goods. Where permitted by law, CARRIER’s lien shall cover any charges payable to
CARRIER by Shipper under any other agreement or bill of lading between CARRIER and Shipper. CARRIER shall
have the right to sell the goods by public auction or private treaty without notice to Shipper, and Shipper shall
remain responsible for payment of such sums due. Payment of ocean freight and charges to an Agent or anyone
other than CARRIER or its authorized agent shall not be deemed payment to CARRIER and shall be made at
payer’s sole risk.
Applicant Signature: _____________________________________________________________
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8601 NW 27th. Street, Doral, FL 33122 Phone 786 265-4800 Fax: 786 265-9406
FOR COMPANY USE ONLY
Credit Line Granted: YES NO Date: ________________________
Credit Line Amount: ________________________
If Not Granted, Payment Method: CASH C.C. CHECK MONEY ORDER
Payment Terms: PREPAID 30 60 90 120
Next Credit Review Date: ____________________
Approved by: ______________________________
_____________________________________________________________________________________________
FOR SKYNET SALES USE ONLY
RATE QUOTED US AM RM OTHER
SUPPLIES ( ) NET ENVELOPES ( ) PLASTIC ENVELOPES QTY. OTHER
( ) GIVE TO DRIVER ( ) GIVE TO SALES ( ) SEND SUPPLIES
AUTHORIZED BY SIGNATURE
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8601 NW 27th. Street, Doral, FL 33122 Phone 786 265-4800 Fax: 786 265-9406
ACCOUNT #
COMPANY NAME:
FAX NUMBER:
CREDIT CARDHOLDER INFORMATION
NAME ON CREDIT CARD
TYPE OF CREDIT CARD VISA MC AMEX DISCOVER OTHER
TYPE OF ACCOUNT PERSONAL BUSINESS
CREDIT CARD NUMBER
EXPIRATION DATE
SECURITY CODE
BILLING ADDRESS
CITY STATE ZIP CODE
PHONE EMAIL FAX NUMBER
AUTHORIZED USER OF CREDIT CARD
NAME
COMPANY
PHONE NUMBER
EMAIL ADDRESS
IDENTIFICATION
RELATION TO OWNER
TYPE OF CHARGES
AUTHORIZED AMOUNT
All information is kept confidential and used only for the purposes as noted above
AUTHORIZATION OF CARD USE
I certify that I am the authorized holder and signer of the credit card referenced above.
I certify that all information above is complete and accurate.
I hereby authorize SKYNET WORLDWIDE EXPRESS to charge my credit card for the collection of payment for all charges as
indicated above.
CARDHOLDER NAME
SIGNATURE DATE
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8601 NW 27th. Street, Doral, FL 33122 Phone 786 265-4800 Fax: 786 265-9406
CUSTOMER ADVISORY
Dear Valuable Customer:
On behalf of Skyworld International Couriers Inc., we would like to inform you of the new changes
directed by the Transportation Security Administration (TSA). These new directives require that 100% of all cargo
moving on passenger aircraft is subject to full screening and inspection. It means that freight moving on passenger
aircraft is going to have to move and be tendered differently than it has before. This means that if you, your
vendors/suppliers tender cargo and it moves on a passenger aircraft it must be screened.
The TSA also requires us to have a written consent (which must be reproduced on the shipper’s letter
head) to search and inspect all shipments tendered for transportation by air, and we are prohibited from
accepting, and restricted by law to tender any cargo to an air carrier where we have not been given written
consent to search and inspect. This can be in the form of an individual declaration on shipping documents, or in a
blanket declaration, which indicates that this consent covers all shipments tendered by said shipper until revoked.
Note that the written consent signed by you, it was reproduced on Skyworld International Courier Inc.’s
letterhead, which must be changed immediately.
In addition, there are changes to the changes to the Indirect Air Carrier Standard Security Program
(IACSSP), which affect how known shippers may be qualified, the requirement for obtaining “consent to search
and inspect” and “identification verification”.
Please do not hesitate to contact us if you have any questions regarding this consent, or the new regulation as
issued by the TSA.
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8601 NW 27th. Street, Doral, FL 33122 Phone 786 265-4800 Fax: 786 265-9406
(TO BE REPRODUCED ON SHIPPER’S LETTERHEAD)
Letter of Consent
Date:
To Whom It May Concern,
In accordance with TSA Regulations, we the undersigned, hereby authorize Skyworld International
Couriers Inc., to act on our behalf to search and inspect all cargo tendered by our company from the date of this
notification forward revoked in writing.
Furthermore, Skyworld International Courier Inc. will not be responsible for loss, damage or delay to
opening any cargo, resulting physical inspection, repackaging or any impact on transit times associated with this
inspection.
Company Name: ______________________________________________________
Rep. Name: ______________________________________________________
Rep. Signature: ______________________________________________________
Phone: _______________________________________________________
Address: _______________________________________________________
