Credit Application

Business Information:

Business Type:
Sole ProprietorshipPartnershipCorporation

Business State:

Year Business Started

FED TAX ID or SSN:

Contact Information:

Company Name

Your Name (REQUIRED)

Address (REQUIRED)

City (REQUIRED)

State (REQUIRED)

Zip Code (REQUIRED)

Phone (REQUIRED)

Fax

Billing Address

Billing State

Billing Zip Code

Billing Phone

Company Billing Fax

Are Purchase Orders Required?
YesNo

Are Job No.’s Required?
YesNo

PO/Accounts Payable Contact(s):
Name / Address / Phone of Individuals/Partners – Name / Title / Address / Phone of Corporate Officers

Bank Reference Information

Bank Name

Bank Address

Bank State

Bank Zip Code

Bank Account #

Bank Contact Person

Bank Phone

Bank Fax

Trade References

Trade Reference 1 Name

Trade Reference 1 Address

Trade Reference 1 Phone

Trade Reference 1 Fax

Trade Reference 1 Account

Trade Reference 2 Name

Trade Reference 2 Address

Trade Reference 2 Phone

Trade Reference 2 Fax

Trade Reference 2 Account

Trade Reference 3 Name

Trade Reference 3 Address

Trade Reference 3 Phone

Trade Reference 3 Fax

Trade Reference 3 Account

The information above is submitted for the purpose of establishing credit with Aim High Equipment Rental and I do hereby certify this information to be true and agree to honor the terms and conditions of the Rental Contract as well as Aim High’s credit terms.
ACCEPT

Your Name

Your Title

Your Email

Date

Additional Information

Documentation of Transactions
Customer acknowledges that it will initiate requests for equipment to be delivered by Aim High as directed. On all such future transactions,
Customer hereby agrees to be bound by the terms & conditions set forth on the Aim High Delivery Ticket/Rental Contract/Invoice, all documents, and both sides of which have been reviewed and agreed to by Customer. This acknowledgement and agreement is made to induce Aim High to deliver and pick up equipment pursuant to verbal directions. It is understood that the individual Aim High Delivery Tickets and/or Aim High Invoices may not be signed by a representative of Customer. Customer agrees that such signatures are not necessary. Per paragraph 12 on rental contract, customer shall carry a minimum of $1,000,000 general liability limit.

Your Name

Your Title

Your Email

Date Signed

Customer Acceptance:
I certify that the information on this form (including the financial data) and on any attached sheets is true and correct as of
the date below, and is provided to Aim High Equipment Rental Inc., to rely thereon as the basis for establishing a commercial credit account for this firm. Aim High Equipment Rental Inc. (or its agents) is authorized to obtain and verify credit and financial information from all references.
If requested, I agree to furnish additional information, such as summaries of operating expenses, projected cash flow statement, financial statements,etc. This account, if approved, is opened only for the use of the customer under its present ownership. If there is a change of ownership, the present company will remain liable to Aim High Equipment Rental Inc. until a written and dated acknowledgement is received from Aim High Equipment Rental Inc. changing the liability status.

Your Name

Your Title

Credit Agreement Terms & Conditions:
It is expressly understood that if credit is approved, the following apply:
1. Invoices are due and payable in 30 days from invoice date.
2. This is a commercial transaction. It is agreed that title to merchandise sold by Aim High Equipment Rental Inc., does not pass until the
goods are paid for in full. It is also agreed, that until the goods are paid, Aim High Equipment Rental Inc. has the right to repossess the
goods, if it deems itself insecure.
3. In the event that this account is referred for collection, customer will pay all expenses, including attorney’s fees and interest.

Your Name

Your Title

Important Notice About Credit:
Should credit availability be granted by Aim High Equipment Rental Inc., all decisions with respect to the extension or continuation of credit, shall be at the discretion of Aim High Equipment Rental Inc. Further Aim High Equipment Rental Inc. may terminate any credit availability within it’s sole discretion, whenever it believes that it is Aim High Equipment Rental Inc.’s best interest to do so.
This statement is acknowledged and accepted by:
Company Name

Your Name

Your Title

Personal Continuing Unlimited Guarantee:
As a condition of credit being extended to the within named firm, the undersigned do (es) hereby guarantee payment of all charges until its guarantee has been revoked in writing by that respective guarantor.

Name of first contact

Your Title

Your Address

Company City

Company State

Company Zip Code

Company Phone

Your Email

Your Social Security Number

Name of second contact

Your Title

Your Address

Company City

Company State

Company Zip Code

Company Phone

Your Email

Your Social Security Number

Damage Waiver:
Please select one of the options below, otherwise a non-refundable damage waiver charge will be applied:
Do not charge a damage waiver. A copy of our Insurance Certificate for Rental Equipment indicating Aim High Equipment Rental as Loss Payee that provided with this application. Our agent will forward an original copy to you at: 10495 HAVANA COURT, BRIGHTON CO 80601.Please charge us a Damage Waiver, which is 10% of the rental rate. No certificate is provided. Upon accepting the optional damage waiver the customer agrees to pay a charge equal to 10% of the rental charges on Equipment Customer wants covered by the Damage Waiver. In return Aim High Equipment Rental agrees to waive certain claims for accidental damage to such covered equipment occurring during normal and careful use. ACCIDENTAL DAMAGE WAIVER IS NOT INSURANCE. Customer remains liable for all damages listed under Damage to Equipment provisions in the terms and conditions on back page of rental estimate contract, including negligence or for equipment theft.