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Apply for a line of credit with us.

Please complete and submit the secure form below. You must provide valid email addresses and phone numbers for all references and contacts in order for us to process your credit application.

If you have any questions please contact April Nelson

If you were contacted by our finance department to provide a reference for an applicant who listed your company as a credit reference, you can complete and submit the secure form here.

*Required fields

  • Your Name and Email

  • Company Information

  • Bank Information

  • Reference 1 Information

  • Reference 2 Information

  • Reference 3 Information

  • Accounts Payable Contact Information

  • If no, please list authorized purchasers below.
  • If no, please provide state sales tax exemption number and attach applicable State Sales Tax forms. Links to CA forms can be found at the top of this page.
  • PDF, JPG, PNG or TIFF files are best.
  • Credit Terms

    Invoices are due upon receipt and delinquent 30 days after invoice date. An interest rate of one and one-half percent (1.5%) per month service charge is to be added to all delinquent invoices. This is an annual rate of eighteen percent (18%). Service charges are assessed and added to the statement and become a part of the principal obligation of Midlands Carrier Transicold. All open accounts are temporarily placed on c.o.d. (cash on delivery) basis when becoming sixty (60) days past due. If an open account becomes ninety (90) days past due, the account is placed permanently on a c.o.d. basis. Credit is not a right, it is a privilege that can be revoked if abused. Payments may not be withheld for anticipated credits, core returns, or pending warranty. Midlands Carrier Transicold will post any and all applicable credits to your account immediately receipt of cores or warranty credit from factory. Should a check be returned on this account, the account holder agrees to pay a returned check fee of $25.00. The account holder agrees to pay all collection and/or attorney's fees along with any applicable court costs deemed reasonable in the event legal action becomes necessary to collect any outstanding balance on your account. This agreement embodies the entire agreement between midlands carrier transicold and the account holder. No revocation, partial or otherwise or change, amendment, addition, or modification, shall be valid unless the same be in writing signed by both the account holder and midlands carrier transicold or both their duly authorized agents. Remit payments to: Midlands Carrier Transicold, P.O. Box 30181, Omaha, NE 68138 This is your credit contract. The above information is for the purpose of obtaining an open credit account and is warranted to be true, I/we hereby authorize the company whom this application is made to investigate the references listed pertaining to my/our credit and financial responsibility.