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Account Application

OPEN AN ACCOUNT

If you are looking for durable and dependable dry-van trailers to keep your fleet on the road, you've found the right place. Our products are the result of what happens when you combine hard work and a customer focused, family owned company who stands by the trailers they put on the road.

Customer Account Application

Company Name

Description of Business

US DOT or MC #

DnB # (Dun and Bradstreet). If you do not have one enter N/A.

Type of Company (Individual, LLC, Corp, Partnership)

FEIN # / TAX ID#

Billing Address

City

State / Province / Region

Country

Zip Code

Physical Address

City

State / Province / Region

Country

Zip Code

Contact / Title

Phone Number

Fax Number

E-Mail

Accounts Payable Contact Name

Accounts Payable Phone Number

Accounts Payable Email

Sale/Use Tax Exempt

Yes

Have you talked with anyone from our company? If so, who?

Company Owner Information

First Name

Last Name

Street Address

City

State / Province / Region

Country

Zip Code

Social Security # (If Indiv. DBA)

Number of Locations

Web Site

Contact / Title

Phone Number

Fax Number

Number of Trailers Requested

Would you prefer to:

Lease (more than one year)

Rent (less that one year)

Bank Information

Bank Name / Branch

Account Number

Contact / Title

Phone Number

Fax Number

References with Revolving Credit of more than 3 months (ie auto repair shops, tire suppliers, etc).

Trade Name #1 / Type of Business

Contact / Title

Phone Number

Fax Number

Trade Name #2 / Type of Business

Contact / Title

Phone Number

Fax Number

Trade Name #3 / Type of Business

Contact / Title

Phone Number

Fax Number

AUTHORIZATION TO RELEASE CREDIT INFORMATION

Terms and Conditions

By signing above and checking this box, I agree to an electronic credit application and have read and agree to the terms and conditions.

References Release Approval

I hereby give approval for listed references to release my credit information to Stoughton Rental and Lease Co LLC.

Electronic Signature

First Name

Last Name

Thank you for your application. One last question - How did you hear about us?

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