Trade Reference & Credit Application

Trade Reference & Credit Application

Complete this credit application for your equipment rental business and provide references, tax exemption documentation, and authorization acknowledgment.
Credit Application
Business Name
Type of Business
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Business Fax
Years in Business
Number of Employees
Will any of your rentals be tax exempt?
Yes or No
Tax Exemption Forms

Cancelof
PO # Required?
Requested Credit Limit?
Business Structure
Accounts Payable Contact
Accounts Payable Contact Name

First NameLast Name
Accounts Payable Phone
Please enter a valid phone number.Format: (000) 000-0000.
Accounts Payable Email
example@example.com
Accounts Payable Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Ownership Information
Principal Owner/Officer
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Bank Reference
Bank Name
Account Type
Bank Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Bank Phone
Please enter a valid phone number.Format: (000) 000-0000.
Bank Contact Name
Trade Reference #1
Trade Reference Contact Name

First NameLast Name
Company Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Years Doing Business
Trade Reference #2
Trade Reference Contact Name

First NameLast Name
Company Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Years Doing Business
Trade Reference #3
Trade Reference Contact Name

First NameLast Name
Company Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Years Doing Business
Signature and Date
Applicant Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Trade Reference & Credit Application

Credit Application

Accounts Payable Contact

Company Ownership Information

Bank Reference

Trade Reference #1

Trade Reference #2

Trade Reference #3

Signature and Date