Application For Credit

To submit a completed credit application to UNI-Carrier, Inc. - Please print out the application, then fill out both pages completely and return to:
UNI-Carrier, Inc.
P.O. Box 794
Westmont, IL 60559

OR you may expedite your request for an account by faxing the completed form to: (630) 434-7100.

• Complete the entire form and sign where indicated.
• An individual authorized in the company to purchase our services should complete this form.
• If any "purchase order" or "reference numbers" are required when the services are authorized, it is the responsibility of the account holder to furnish this information at the time the order is placed.
• If your firm wishes to "fax" this application to us for expedited handling, please also send the "Original" to our office. The completed "original" must be received prior to account being activated.
• If you have any problems downloading this form, or any questions, please direct them to our office, Monday thru Friday, between the hours of 8:00 am and 4:30pm. Phone (630) 434-7000.