How did you hear about us?
Address Line 2
Preferred method to receive Invoices and Statements*
Point of Contact Name*
Point of Email*
Point of Phone*
If you are Tax Exempt, you will have to enter your # and attach your certificate*
Taxable or Tax-Exempt (Pick One) TaxableTax Exempt
If Tax Exempt Tax Exempt Number
If Tax Exempt (upload Tax Exempt Certifiate)
**Authorize NO site signature of terms & conditions upon delivery
**Rental Agreement terms & conditions signed and returned
Do you require a Purchase Order Number on Your Invoices? (Yes or No)*
Have you filed Bankruptcy, had Tax Liens or any Civil Suits Filed in the Past 5 Years? (Yes or No)*
Officer, Owner, or Other Responsible Party Personal Information
Social Security Number
Insurance Requirements: (Excluding equipment sales)
I/WE ON BEHALF OF THE UNDERSIGNED ENTITY AGREE TO PAY FOR ALL THE CHARGES TO OUR ACCOUNT UNDER THE FOLLOWING TERMS AND CONDITIONS
Terms: Invoices are due net 30 from the date of invoice. At the discretion of Time Savers, Inc., any account with a delinquent balance may be placed on a cash basis at any time, and/or the equipment picked up without notice. The undersigned hereby agrees to pay all costs related to collect any unpaid balances, which includes but not limited to collections, court and attorney fees. I understand that there may be occasions when I am unable to execute Rental Agreements before equipment is delivered at job sites pursuant to my instructions and pursuant to my company purchase order/purchase approval and I hereby give Time Savers, Inc. a limited power of attorney to sign Rental Agreements on my behalf as my attorney-in-fact.
I hereby authorize the above listed bank, insurance company and business references, or others contacted at Time Savers, Inc. discretion to release credit and account information to Time Savers, Inc. for the purpose of establishing credit privileges or continuation of credit to a customer.
Must sign rental agreement page before any and all rentalsThe Undersigned warrants the information listed on this application to be true, correct, and complete to his/her knowledge.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Credit Application
Agree & Sign