Credit Application

For the purpose of establishing an account and, if applicable, applying for Credit with Pacific Post Rentals, Inc., “PPR”, and to enable Customer to utilize PPR’s services, Customer makes the following statement in writing, intending that PPR rely thereon respecting the ownership and control of:
Customer Profile
Customer (Company Name)*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Fax Number
Federal I.D. Number
In Business Since
Date Incorporated
Date Format: MM slash DD slash YYYY
State Incorporated
Company Type
- Individual
- Limited Partnership
- General Partnership
- Limited Liability Company
- Corporation
Accounting Department information
Contact Name*
Contact Phone Number*
Contact Fax Number
Are PO#s Required?*
- Yes
- No

Authorized Staff

Please name all those who are authorized to place requests

Name	Address	Phone
			Edit Delete
There are no Authorized Staff Members.

Subsidiaries, Affiliates, Parent Companies

Name	Address	Phone
			Edit Delete
There are no Subsidiaries, Affiliates, Parent Companies.

Trade References

Please list at least (3) three references

Name	Address	Contact Name	Phone
				Edit Delete
There are no Trade References.

Accounting Information
Please list complete contact information
Accounting Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Accounting Contacts

Please list at least (1) one account contact

Contact Name	Email	Phone
			Edit Delete
There are no Accounting Contacts.

Customer Profile