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Rental / Credit Application |
| Please print these pages, provide us with your information, and
fax it to: 310-963-2501. Please Contact Us if you need assistance or have questions on submitting this form. |
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| COMPANY
INFORMATION
Name:______________________________________________
Contact:________________________________________ |
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COMPANY OWNER INFORMATION
Owner's
Name:______________________________________________________________________________________ |
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CREDIT & TRADE REFERENCES (Currently Open/Active)
1. Company Name:__________________________________________
Contact:__________________________________ |
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BANK INFORMATION
Bank Name:_______________________________________ Contact:___________________
Phone:__________________ |
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CREDIT CARDS
1. Name on Credit Card:______________________________ Acct
#:____________________________ Exp Date:_______ |
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A CERTIFICATE OF INSURANCE LISTING DECKS ETC. AS LOSS PAYEE IS REQUIRED PRIOR TO RENTAL. Insurance Company
Name:_________________________________________________
Phone:_____________________ |
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| By signing this form, (1) I/We agree to pay
DECK ETC. a minimum of one week in advance upon delivery / pick-up of equipment and
will keep the account current on a weekly basis to secure
the DISCOUNT PRICE. (2) I/We hereby authorize the release
of all credit information to DECKS ETC. In consideration of the extension
of credit terms, the undersigned personally and/or collectively guarantee the
payment of all rental charges, plus attorney fees, court, and all other costs
should collection proceedings become necessary. Signature: _________________________________ Print: _______________________________ Date: _______________ |
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Decks Etc |
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Phone: 310-963-2501 e-mail: decksetc@earthlink.net www.decksetc.com |
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Decks Etc Rental Rules and Regulations
Signature:_________________________________________ Print:__________________________ Date:_____________ |