Cargo Services of Atlanta
5300 Kennedy Road
Atlanta, GA 30297
Main Phone: 678-705-6002
Admin/Acct Fax: 679-705-6003
Import Fax: 678-705-6004
Export Fax: 678-705-6005
Dispatch Fax: 678-705-6019

Hazmat Certified  •  FDA Approved  •  On-Site Customs Clearance

Credit Application Form
Cargo Services of Atlanta

Company Information

Company Name:
Phone:
Fax:
City:
State:
Zip Code:
Federal Tax ID #:
Date Established:
Business Structure:
Billing Address If Different:
Operation Contact Name:
Phone:
Accounts Payable Contact Name:
Phone:
Owner(s)/Officers Name:
Bank Name:
Account Number:
Address:
City:
State:
Zip Code:
Phone:
Contact Name:
Credit Reference:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Contact Name:
Credit Reference:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Contact Name:
Credit Reference:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Contact Name:
Name:
Title:
Date:
Email Address:
Please add the two numbers together for security purposes 8 + 5 =
  Print this form