1414 East 3rd Ave.
San Mateo, Ca. 94401
TRUCKS, TRAILERS & EQUIPMENTPh. 650/342-8941
Fax 650/342-6395
(fill out, print and fax)NAME OF COMPANY:
BUSINESS ADDRESS:
city/state/zip:
BILLING ADDRESS (if different than above):
BUSINESS PHONE:
FAX NUMBER:
CONTRACTORS LIC.#:
EXP. DATE:
BONDING COMPANY:
OWNER OF BUSINESS:
OWNER'S HOME PHONE:LIST THREE TRADE CREDIT REFERENCES:
COMPANY NAME, ADDRESS, PHONE AND FAX NUMBERS:
1.
2.
3.
LIST THE BANK YOUR COMPANY DEALS WITH:
BRANCH:
ACCOUNT#:
WILL YOU REQUIRE A P.O.# FOR EACH RENTAL? YES NO
WILL YOU REQUIRE A JOB NUMBER FOR EACH JOB? YES NO
WILL YOU WANT DAMAGE WAIVER COVERAGE? YES NO***PLEASE NOTE - IF NO DAMAGE WAIVER IS REQUESTED, PLEASE PROVIDE A COPY OF YOUR
INSURANCE BINDER. THE DAMAGE WAIVER OPTION WILL REMAIN ON YOUR ACCOUNT UNTIL WE
RECEIVE THE BINDER***Payment Terms
..Payment is due 30 days from date of invoice
..There will be a 1.5% late charge applied on any unpaid balance after 30 days
..Any account unpaid after 60 days may be put on C.O.D.
..If your account is beyond 90 days delinquent, it will be closed
Signature:___________________________________________Date:_________________San Mateo Rentals looks forward to doing business with you, and will notify
you as soon as your account is open.