Credit Application

In order to establish an open account with SONSRAY RENTAL AND LEASING, INC., we must have the following information. Please ensure all questions are answered to avoid delays.

Please select the location(s) that you will require service from:*

Los Angeles
San Diego
Sacramento
Stockton
Fontana
San Leandro
Las Vegas
Reno
Phoenix

Company Legal Name*

Phone #*

D.B.A.*

Fax #*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Type of Business*

Years in Business*

Years at Present Location*

Company Type*

Corporation
Partnership
Sole Proprietorship
LLC

Principals of the Company

Name*

Title*

Has credit previously been extended by SONSRAY RENTAL AND LEASING, INC. to this establishment under another name? If so, what name?*

Is a purchase order required?*

Person who will authorize purchase or repairs:*

Accounts Payable Contact Info

Name*

First Last

Email*

Fax*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Trade References

Please furnish 4 complete addresses.

Name*

First Last

Email*

Fax*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name*

First Last

Email*

Fax*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name*

First Last

Email*

Fax*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name*

First Last

Email*

Fax*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Bank References

Please furnish complete addresses and account numbers.

Bank*

Account #*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Fax*

Bank*

Account #*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Fax*

Because of the additional expense to us in handling delinquent accounts, a service charge of 1-1/2% per month (18% per annum) will be charged on past due accounts.

Applicant’s signature attests financial responsibility, ability and willingness to pay our invoices in accordance with the terms of sale. The above information is for the purpose of obtaining credit and is warranted to be true.

I/We hereby authorize the firm to whom this application is made to investigate the references listed pertaining to my/our credit and financial responsibility. I/We agree to be responsible for all debts, collection, attorney fees and finance charges incurred by SONSRAY RENTAL AND LEASING, INC.

Name of Signator*

First Last

Consent*

I agree to the these terms

Signature*

Date*

Credit Application

Please complete and submit the following form to apply for credit with Sonsray Inc.