The undersigned Applicant wishes to establish credit privileges with Horizon Lines, LLC. or any successor, subsidiary or affiliate (Horizon Lines) for the purpose of paying freight invoices and all charges due within the boundaries of this agreement. In consideration of granting credit either directly to Applicant or through Applicant's duly authorized Ocean Freight Forwarder, Logistics Broker or other Agent, Applicant hereby undertakes and unconditionally agrees to the conditions contained in this application and Agreement for credit.

If a field is not relevant to you, please input N/A.

For timely processing, this form must be completed and submitted online. A copy of the completed credit application will be sent to the email address provided on the next page.

 (*) Required Fields

Company Contact Information
*Company Name *D.B.A.
*Street Address
*City *State   *Zip 
*Telephone Nr Facsimile Nr
Mailing Address
(if different than above)

Billing Address Information
Company Name Contact Name
Department Telephone Number
Address Facsimile Number
City State   Zip 

Company Type and Structure

*Please indicate how your company is organized by checking one of the following and provide Federal tax ID:
Sole Proprietorship
Social Security Number
Partnership
General  Limited  Other  Please explain:
Corporation
Date of Incorporation State of Incorporation
*Federal tax ID    
SIC Code *Nature of Business
*Your company's gross annual revenue $ *Year Business Started
 
Please indicate if your business is seasonal, (i.e. fishing season, holiday retail, etc.)
Yes No
If YES, please indicate type of season and when
 
Furnish name, mailing address and state of incorporation of Parent Company (if applicable)
List applicant's principals and titles
Name Title
Name Title
Name Title

Previous Business History
*Have you or your company done business with Horizon Lines before?
Yes No
If YES, please indicate type of business and when
Please provide the name of your Horizon Lines sales representative, if known:

Credit Information
To determine the seasonal nature of your shipping needs, please indicate your estimated Number of Shipment by Quarter
First Quarter Second Quarter Third Quarter
Fourth Quarter Total
Desired Monthly Credit Limit
Please check the following types of equipment needed
20 Dry 40 Dry 45 High Cube
Tank Container Refrigerated Container Other  If other please explain:
Please indicate below which tradelane(s) your company plans to ship:
Puerto Rico Hawaii Guam
Alaska All Tradelanes

Trade Credit Reference Information
List three (3) credit references and one (1) bank reference, including account number
*Name *Name
*Address *Address
*City *City
*State and Zip code *State and Zip code
*Contact Name *Contact Name
*Phone Number *Phone Number
*Facsimile Number *Facsimile Number
*Account Number *Account Number
   
*Name *Bank Name
*Address *Address
*City *City
*State and Zip code *State and Zip code
*Contact Name *Contact Name
*Phone Number *Phone Number
*Facsimile Number *Facsimile Number
*Account Number *Account Number

Branch Location Information
Please list any additional locations that will be eligible to use this credit line (Name, Address, City, State and Zip code).

License and Bond Information
In order to obtain credit as an Ocean Freight Forwarder, Logistics Broker or Customs House Broker, it is required that your firm is licensed by the appropriate regulatory agency. Please list your firm's license number, bond provider, bond type, bond number and bond amount
License Number Bond Provider
Bond Type Bond Number Bond Amount

Horizon Lines would like to provide you with an answer as quickly as possible to your request for credit and to assist us in doing so, we ask that you supply us with complete and accurate information. All information is subject to verification. Based on the information you provide in this application, your payment history and information contained in your credit report please allow up to four (4) weeks for processing.

By selecting Next you are agreeing to the user Terms and Conditions of this Credit Agreement