Credit Application • Big Trailer Rentals

Application Name (Full Legal Name) *

Phone Number *

Fax Number

Email (For Invoicing) *

Website / URL

Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Business Description *

Number Of Employees *

Date Business Formed *

Company Formed As *

Corporation
Limited Liability Company
Partnership
Sole Proprietorship

Federal Tax Number *

DUNS Number

Is Your Company Tax Exempt? *

Yes
No

Company Principal(s)

Principal 1 *

First

Last

Title *

Phone

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

SSN

Principal 2

First

Last

Title

Phone

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

SSN

Bank References

Name

Address

Phone Number

Account Number

Trade References (Open Accounts Only)

Reference 1

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Reference 2

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Reference 3

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Insurance

By default, a damage waiver is offered for a cost of 10% of your rental. In the event of loss or damage to the trailer, your responsibility is only $1,000.00. If you decline our damage waiver, you will be required to provide a COI from your insurance company naming Big Trailer Rentals, LLC as an additional insured.

Please Choose One *

I will accept your damage waiver
I will provide a COI from my insurance

Upload Your Tax Exempt Form Here (If Applicable)

Click or drag a file to this area to upload.

Credit Account

Company Principal(s)

Bank References

Trade References (Open Accounts Only)

Reference 1

Reference 2

Reference 3

Insurance