• Rental Information
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• Credit Application

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We have tools and equipment for Industrial, Commercial or Home Owner use.

CREDIT APPLICATION

Business Contact Information
Name & Title:
Company Name:
Phone:	Fax:	E-mail:
Registered Company Address:
City:	State:	Zip:
Date Business Commenced:
Sole Proprietorship Partnership Corporation Other
Business and Credit Information
Primary Business Address:
City:	State:	Zip:
How long at current address?
Telephone:	Fax:	E-mail:
Bank Name:
Bank Address:		Phone:
City:	State:	Zip:
Business/Trade References
Company Name:
Address:
City:	State:	Zip:
Phone:	Fax:
Company Name:
Address:
City:	State:	Zip:
Phone:	Fax:
Company Name:
Address:
City:	State:	Zip:
Phone:	Fax:
Agreement
All invoices are to be paid by the 10th of the month following purchases or rent. By submitting this application, you authorize Koberstein Rental & Sales, Inc. to make inquireies into the banking and business/trade references that you have supplied.
Signature:
Title:
Date: