Read To Rental One: For the purpose of establishing credit with Rental One, the undersigned applicant furnishes the following information text version

Credit Application

Equipment Rental Professionals

Business Applicant Street Address City Telephone No. Federal ID# E-mail Address Owners (if Sole Proprietor or Partnership) Name Address Name Address Bank Information Bank Name Account No. Bank Name Account No. Trade References Name Contact Name Name Contact Name Name Contact Name Contact Contact Branch Address Telephone No. Branch Address Telephone No. Address Telephone No. Address Telephone No. Address Telephone No. Fax No. Fax No. Fax No. Fax No. Fax No. State Zip Fax No. Estimated Monthly Rental $ Corporation Officers (if Corporation) Cell No. County Years in Business Sole Proprietor


Fax: 817-581-0400 Phone: 817-545-8999 4101 Gateway Drive Colleyville, TX 76034

To Rental One: For the purpose of establishing credit with Rental One, the undersigned applicant furnishes the following information. Applicant represents and warrants said information to be a true and correct statement of its condition financial and otherwise.

A/P Contact Name Billing Address



No. Of Employees Soc. Sec. No. Home Phone No.

Please supply the following information to help us better serve your needs 1. Do you require a purchase order number on each invoice? If yes, equipment will not be released if not provided. Yes No 2. Do you have any restriction on who can order or sign for equipment? If yes, a list of authorized personnel must accompany this application. Yes No 3. Do you require any special instructions on your account? If so, please attach. Yes No 4. Do you wish to purchase optional Loss Damage Waiver on each rental contract? If you do not have proper insurance, you must purchase the Loss Damage Yes No Waiver. Loss Damage Waiver will be charged on all contracts until an acceptable certificate of insurance is received in our office. Please Read Carefully If you do not purchase optional Loss Damage Waiver, you must provide Rental One with proof of insurance of a risk floater naming Rental One as loss payee on any and all equipment rented. If you do not purchase optional Loss Damage Waiver, you may be responsible for the full cost of any and all repairs or the full replacement cost of the equipment. The waiver is subject to the exclusions in paragraph 12 of the Rental Agreement. The Loss Damage Waiver fee will be eleven (11) percent of the rental charges and would be subject to a minimum deductible as outlined in paragraph 12 of the Rental Agreement. Open Account Credit Terms 1. Each invoice is payable and due 10 days from the date of the invoice. 2. If equipment is rented for more than 4 weeks, periodic unsigned invoices will be issued for rental charges due. All such invoices are payable and due within 10 days of the invoice date. 3. At the discretion of Rental One, any account with a delinquent balance may be placed on a cash basis at anytime, and the equipment picked up without notice. 4. Rental One files preliminary lien notices and mechanics' liens whenever necessary or required by law. This is Company Policy, and is not a reflection of your credit standing or rating. The undersigned agrees to furnish Rental One with accurate information necessary to complete the notices or liens. 5. Customer agrees to pay on each delinquent account a monthly service charge of 1 ½% or the maximum permitted by law in the state where the contract is signed. A fee of $25 will be charged for all N.S.F. Checks. 6. Customer agrees to pay all reasonable attorneys fees, collection cost, and court cost incurred by Rental One in enforcing these terms and conditions. 7. Customer authorizes Rental One to obtain credit reports, trade reports, and bank references for the purpose of determining the extension or continuation of credit. The undersigned warrants that all information is correct, has read, accepted and agrees to be bound by all of the above terms and conditions set forth in this document and in each rental contract ordered by the undersigned or his agents. It is understood and agreed that the undersigned specifically consents to Rental One's investigation of the applicant's credit history and may utilize creditreporting services for information on the undersigned. Facsimile copies will be accepted as originals. Date Print Name Signature Title Continuing Personal Guaranty The undersigned hereby unconditionally guarantee(s) the full and prompt payment to Rental One when due all indebtedness, obligations, and liabilities of the customer named in this Credit Application, including all amounts now owing and arising in the future, and including any interest, attorneys fees, and collection and court cost. The undersigned agrees to be personally bound by all credit terms of this Credit Application. This guarantee shall continue in force until notice in writing sent by certified mail, return receipt requested, is received by Rental One. This notice shall specify the date of termination, not to be less than seven (7) days after the notice is received and shall not affect any charges for transactions with the customer that were entered into prior to the termination date. Date Signature Signature


REV 20090326B

Approved By:


Account #:


To Rental One: For the purpose of establishing credit with Rental One, the undersigned applicant furnishes the following information

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