New Customer Application - Bulk Equipment Corp. - Equipment rental, field service, intermodal service, equipment expertise

Company Background & Information

Company Name:

Sole proprietorship

Partnership

Corporation

Other

Other: Optional unless other is selected.

Website

Optional

Date Business Commenced

Physical Address (no P.O. Boxes)

County

City

State

Zip

Primary Contact

Primary Contact Email

Company Phone

Company Fax optional

Accounts Payable

AP Address

AP City

AP State

AP Zip

AP Contact

AP Email

AP Phone

Invoices Mailed or Emailed?

Mailed

Emailed

Will Purchase Orders be issued prior to delivery or commencement of services?

Yes

If Yes, please provide contact name: Optional unless yes, provide contact name above.

BUSINESS/TRADE REFERENCES

Trade Reference 1

Company Name

Address

City

State

Zip

Phone

Fax optional

Type of Account

Email optional

Trade Reference 2

Company Name

Address

City

State

Zip

Phone

Fax optional

Type of Account

Email optional

Trade Reference 3 (optional)

Company Name

optional

Address

optional

City

optional

State

optional

Zip

optional

Phone

optional

Fax optional

Type of Account

optional

Email optional

Review and Send

Sales Tax Status:

Taxable

Exempt

If exempt, we must receive a valid tax exemption certificate in order for invoices to exclude taxes. The document should be sent to ar@bulkequip.com.

Name

Title

Date: October 23, 2019 Bulk Equipment Corp's standard invoice terms are N30 and we expect that all invoices shall be paid timely. A monthly Finance Charge of 1.5% (18% APR) will be added to all past due amounts. Bulk reserves the right to suspend future services or shipment of goods on past due accounts. Failure to pay shall enable Bulk Equipment Corp. to collect any collection and legal costs. Venue shall be LaPorte County, Indiana. By submitting this form, you agree to these terms and authorize Bulk Equipment Corp. to make inquiries into the references supplied. Any information provided herein will be used strictly for purposes of setting up your account with us and held in confidence. These terms shall apply to any and all work requested by customer of Bulk.

I agree to the terms stated above.