Rental Application

Company Name: * DBA: *
Address: * City:
State: Zip code: *
Bill To Address: * City:
State: Zip code: *
Phone Number: Fax Number:
Type of Business: * Years in Business:

Corporate Officers or Owners:
Name: * Address:
Tax Exempt?: *
Please attach completed State of Texas form. ****Manufacturing does not qualify for tax exempt status for forklift parts, sales, service or rental
Federal Tax#: * EIN#: *
Delivery Address: Rental Term desired:

Explain your business activities in brief:

What will the lift be rented for? Explain in detail:

Trade References:

Company Name 1: * Address: *
Phone Number: * Fax Number:
Account No: Email Address: *
Company Name 2: * Address: *
Phone Number: * Fax Number:
Account No: Email Address: *
Company Name 3: * Address: *
Phone Number: * Fax Number:
Account No: Email Address: *

Billing Instructions:

P.O:*
Accounting A/P Contact: A/P Email:
Would you like invoices emailed?: *
Bank Name: Account Number:
Bank Address: City:
State: Zip:
Bank Contact: Bank Phone:
Check One: