Credit Application

General Information
Legal Business Name*
Doing Business As
Billing Address*
Street Address Address Line 2 City State ZIP Code
Shipping Address
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
DUNS #
Company Details
EIN*
Year Business Started
PO # Required?*
- Yes
- No
Type of Business*
- Sole Proprietor
- Partnership
- S Corporation
- C Corporation
Contact Name*
First Last
Email*
Payment Method*
Name of Principal Officers, Partners, Owners
Name 1*
First Last
Title*
Name 2
First Last
Title
Bank Reference
Bank
Contact Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Account #
Trade References
Company 1
Contact Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Email
Company 2
Contact Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Email
Company 3
Contact Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Email
Authorized Purchasers
Name*
First Last
Name
First Last
Name
First Last
Name
First Last
Signature
I certify that the information provided is accruate and current. This statement will act as a release for infomation 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 accordinly and to pay American Rental Services, LLC in accordance with the terms state on the invoice. The undersigned agrees to pay all collection costs, including reasonable attorney fees, if the account is placed for collection either with or without suit.
Name*
First Last
Title*
Want equipment availability emails?*
- Sign me up!
- Don’t sign me up right now.
Phone
This field is for validation purposes and should be left unchanged.

General Information

Company Details

Name of Principal Officers, Partners, Owners

Bank Reference

Trade References

Authorized Purchasers

Signature

Footer

Get Equipment Availability Notices

Connect