Credit Application * Required field Business Contact Information Legal Name of Company: DBA Name: Name * Phone * Fax: Email * Registered Company Address: Address: City: State: AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code: Year Company Started: Referred By (BT Employee Name); Fein # # Employees: Trailer Fleet Size: Tax Exempt: YesNo Type of Business: Sole ProprietorshipPartnershipCorporation If so please provide sales tax exemption form with credit application otherwise will be charged tax Business and Credit Information Ins. Agency: Contact: Phone # Fax # US DOT # Bank Name: Bank Address: Phone # City: State: AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code: Type of Account SavingsCheckingOther Account # Business/Trade References [Reference #1] Company Name: Address: City: State: AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code: Phone: Fax: Email: Type of Account: [Reference #2] Company Name: Address: City: State: AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code: Phone: Fax: Email: Type of Account: [Reference #3] Company Name: Address: City: State: AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code: Phone: Fax: Email: Types of Account: Desired Services/Products Please enter the types of services you will need, include the number of trailer(s), type of trailer(s), and duration. Agreement All Invoices are to be paid 30 days from the date of the Invoice. Claims arising from invoices must be made within seven (7) working days. By Submitting this application, you authorize Boston Trailer, LLC to make inquiries in to the banking and business/trade references that you have supplied Signatures Title: Signature * Date * How did you hear about Boston Trailer? —Please choose an option—Google SearchFacebookInstagramLinkedInOther Specify If Other This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
