New customer Credit Application & Vendor RegistrationCompany DetailsLegal Business Name(Required)DBAEIN:Date Established MM slash DD slash YYYY Tax Exempt? Yes NoType of Business Sole Propreiertor S Corporation Partnership C CorporationAccounts PayableBilling Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Billing Contact(Required) First Last Billing Contact Email Billing Contact PhoneInvoice InboxPayment MethodPO Required? Yes NoBusiness LocationAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands PhoneContact NamePlease list additional contact here:Admin ContactEmail PhoneService ContactEmail PhoneSales ContactEmail PhoneBranch ContactEmail PhoneDo you have additional locations? Yes NoLocations DirectoryMax. file size: 50 MB.If you have more than two additional locations, please feel free to upload a document with details on your company directory.Physical AddressAdditional location #1PhoneAdditional location #1Service ContactAdditional location #1Email Additional location #1Physical AddressAdditional location #2PhoneAdditional location #2Service ContactAdditional location #2Email Additional location #2Credit Application/Vendor RegistrationPlease complete this section to submit your credit application.Name First Last Are there other owners? Yes NoName First Last Name First Last Trade ReferencesCompany NameAddressContactPhoneEmail Company NameAddressContactPhoneEmail Company NameAddressContactPhoneEmail Bank ReferenceBank NameContactAddressPhoneEmail Account NumberCUSTOMERS WILL ALSO BE REGISTERED AS A VENDOR WITH ARSARS requires a purchase order on all invoices. Invoices must be sent to accounting@american-rental.comRouting #NameAccount #PhonePLEASE PROVIDE CERTIFICATE OF INSURANCE, SIGNED W9, AND SALES TAX EXEMPTION (IF APPLICABLE)ARS required a purchase order on all invoices. Invoices must be sent to accounting@american-rental.com. Please select the following locations for examples of the document uploads required. Example of Insurance Sample W9 Are you providing a Certificate of Insurance? Yes NoAre you providing a signed W9? Yes NoAre you providing sales tax exemption? Yes NoCertificate of InsuranceMax. file size: 50 MB.W9Max. file size: 50 MB.Sales Tax Exemption DocumentMax. file size: 50 MB.SignatureI certify that the information provided is accurate and current. This statement will act as a release for information regarding the accounts listed above, both trade references and financial institutions. I understand the terms and conditions of American Rental services, LLC and agree to conduct business accordingly and to pay American Rental Services, LLC in accordance with the terms state on the invoice or rental contract. American Rental Services terms are Net 30 unless otherwise specified. The undersigned agrees to pay all collection costs, including reasonable attorney fees, if the account is placed for collection either with or without suit.Consent(Required) I agree to the above terms.ARS Rental ProceduresAs a part of the ARS Family, we would like to introduce you to our procedures. Please click below to view them and certify that you understand. ARS Procedures Consent(Required) I have read the ARS Procedures document.Name First Last Your Email Address(Required) Email Address Confirm Email Address Date MM slash DD slash YYYY TitleΔ
