Parts & Service Charge Account

Apply For a Parts & Service Charge Account
Please fill out the fields below. If you wish to continue the form another time, hit save and a link will be sent to you that is valid for 15 days.
Business Credit Application
Please fill out the form below and a representative will be in touch shortly
Which Location are you applying for?
Company Legal Name*
DBA
Parent Company
Phone
Physical Address*
Email Address*
Street Address
State / Province / Region
ZIP / Postal Code
Billing Address*
- Same as Physical Address
- Different
State of Formation
Year established
Tax ID
Ownership
- Corporation
- Partnership
- Sole Ownership
Preferred Billing
- Fax
- Mail

Principals
Personal Information
Name*
Title*
Street Address*
City*
State*
ZIP*
Authorized Signatures
Personal Information
Name*
Title*
Company's Bank References
Contact email address
Name
Branch
Borrowing or Checking?
Contact
Trade Creditors / Other Credit References
Or please attach credit or trade references
Click here to attach credit or trade references

Agreement
Applicant's signature attests financial responsibility, ability, and willingness to pay our invoices in accordance with the following terms and conditions:
1. Parts and Service Work - purchases are due 30 days from the date of purchase Trailer Sales - purchases are due net receipt of invoice / delivery

2. Past due balances over 30 days are subject to a service charge of 1.5% per month

3. In the event of default in the terms of sale, the undersigned agrees to pay all additional sums reasonably incurred to collect past-due balances, including collection costs and reasonable attorney fees to be fixed by the trial court and, if appeal is taken, such further sums may be fixed by the appellate court.

4. We authorize Utility Trailer Sales of Oregon, LLC. to make inquiries of any / all references listed or through any legally recognized avenue to secure up-to-date credit information concerning our company and / or individuals involved. We authorize Utility Trailer Sales of Oregon, LLC. to report our credit experience with them to such other parties.

5. Upon review of company information, a personal guarantee may be required from principle/owner of company to establish account. Request will be made at discretion of credit department.
Firm Name
By
Title
Date
Date Format: MM slash DD slash YYYY
Signature of Authorized Officer
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Apply For a Parts & Service Charge Account