Open Account Form

Company Information

• City
• State
• Zip Code

Business structure (check one)

• Individual

  Individual
  Partnership

  Radio 2 Label
  Corporation

  Radio 3 Label
  Radio 3 Label

If business is corporation, what type (check one)

• C Corp

  C Corp
  S Corp

  S Corp
  LLC

  LLC
  Radio 3 Label

Billing Information

Do You Require Job Site Billing? (if yes, we'll contact you during credit processing for details)

• Yes

  Yes
  No

  No

Is your company bonded?

• Yes

  Yes
  No

  No

If yes:

Company Ownership Information

Banking Information

Trade References (4 Minimum, please)

Terms

The Undersigned hereby agrees that the terms of sale and rental are NET 30 DAYS from the date of the invoice. Anything that is not paid within these terms becomes past due, and a service charge of 1 ½% per month (18% per annum) will be added on any past due portion and must be paid in full. Regarding disputed invoices, the Undersigned agrees to provide written notice to the above address of any discrepancies within 21 days of the invoice date. In the event of default of payment, the Undersigned personally agrees to pay the amount owed, plus all collection costs & fees, including court costs and attorney fees that may be incurred by Almighty Rentals. The undersigned agrees to promptly notify Almighty Rentals of any changes to the above information, including but not limited to, name/ownership changes & changes of address. The undersigned does hereby certify that the information contained in this application is true & correct to the best of my knowledge and hereby authorizes any credit investigation needed for verification purposes in accordance with the Fair Credit Reporting Act, Public Law 9-508

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