Corporate Account Application

Thank you for requesting a credit application with East Tenn. Rent-Alls, Inc. You can drop the completed application off at our office, or e-mail it to creditapp@etra.biz. Please allow up to 1 week for processing. We will contact you if additional information is needed.

We appreciate your interest in our company. We look forward to doing business with you. If you have any questions concerning this application, please call our credit department at (423) 282-3221. Our Office hours are Monday through Friday 8:00 A.M. until 5:00 P.M.

Application Date:(Required)

Amount of Credit Requested per Month:(Required)

In Which Division do you need credit (circle all that apply):(Required)

Rental

Bobcat

Celebrate

Company Name:(Required)

Physical Address:(Required)

Street Address City State ZIP Code

Phone:(Required)

Email:(Required)

Social Security Number:(Required)

Is Your Company Incorporated:(Required)

Federal Tax ID Number:(Required)

Principal Owner:(Required)

Principal Owner's Phone:(Required)

DUNS Number:(Required)

Other Contact Info:(Required)

Tax Exempt?:(Required)

If Yes, You Must Include A Tax Exemption Form With This Application Before We Consider You Exempt.

Tax Exemption Form:(Required)

Accepted file types: pdf, Max. file size: 50 MB.

Email:(Required)

All statements will be emailed to the above address. We no longer mail statements.

Business Property Owned:(Required)

Is Company Bonded:(Required)

If Rented, From Whom?:

Accounts Payable Managers Name:(Required)

Do you Require PO on Invoices?:(Required)

If no PO provided, contact # for PO:(Required)

Do you Require Any of the Following? (Check All that applies):(Required)

Job Name

Location

Job Number

Are There Certain Persons Allowed to Charge, Or Pickup Equipment?:

Name

If Yes, Please List Names.

Have You Rented Tools/Equipment From Any Other Rental Company?:

Name

Phone

If Yes, Please List Names & Phone Numbers.

Bank Information

Bank Name:(Required)

Address(Required)

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

Person to Contact:(Required)

Phone:(Required)

Your Account Number:(Required)

In Order For Application To Be Processed, You Must Give Complete Name, Address, And Phone Of at least Four (4) Trade Suppliers With Whom You Have Done Business. No Application Will Be Processed Without This Information. Do Not Use Charge Cards(Visa, Mastercard, etc....) Or Insurance Companies.

Trade Information(Required)

Trade Name

Address

Person To Contact

Phone

Your Account #

Terms & Conditions

1. THE UNDERSIGNED HEREBY AGREES THAT OUR 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 1½ PERCENT PER MONTH (18% PER ANNUM) WILL BE ADDED ON ANY PAST DUE PORTION AND MUST BE PAID IN FULL. IF THE ACCOUNT SHOULD RUN OVER 60 DAYS PAST DUE, THE ACCOUNT WILL BE PLACED ON A HOLD STATUS UNTIL ALL PAST DUE INVOICES AND FINANCE CHARGES ARE PAID IN FULL. THIS CAN BE DONE WITHOUT NOTIFICATION TO THE ACCOUNT HOLDER.

2. PURCHASER AGREES TO EXAMINE ALL INVOICES AND STATEMENTS PROMPTLY UPON RECEIPT AND TO NOTIFY SELLER IMMEDIATELY OF ANY FAILURE OF DELIVERY, SHORTAGE, DISCREPANCY, OR ERROR. PURCHASER FURTHER AGREES THAT SUCH INVOICES OR STATEMENTS SHALL BE PRESUMED CORRECT UNLESS OUR OFFICE IS NOTIFIED IN WRITING WITHIN 27 DAYS OF SUCH FAILURE OR DELIVERY, SHORTAGE, DISCREPANCY OR ERROR. IT SHALL BE PRESUMED THAT THE PURCHASER RECEIVED INVOICES, AND STATEMENTS ON OR BEFORE THE FIFTEENTH (15TH) DAY OF THE MONTH SUCCEEDING PURCHASE.

3. IN THE EVENT OF DEFAULT OF PAYMENT AND IF THE SAME IS PLACED FOR COLLECTION, THE UNDERSIGNED AGREES TO PAY THE FULL AMOUNT, PLUS ENTIRE COLLECTION COST, INCLUDING All ATTORNEY'S FEE AND ANY COURT COST AND FINES INCURRED OR AWARDED. PLEASE REFER TO SECTION 18 "MISCELLANEOUS" ON THE BACK OF EACH CONTRACT/INVOICE FOR COMPLETE DETAILS.

4. THE UNDERSIGNED AGREES THAT ANY CHANGES OR OWNERSHIP, OFFICERS, OR FORM OF BUSINESS SHALL BE MADE KNOWN IN WRITING TO EAST TENN. RENT-ALLS, INC., P.O. BOX 3856, JOHNSON CITY, TN 37602.

5. THE UNDERSIGNED DOES HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT & ALSO AGREES TO ALL TERMS AND CONDITIONS OF THE RENTAL CONTRACT / INVOICE

OWNERS, PARTNERS, OR AUTHORIZED SIGNATURE:(Required)

OFFICIAL TITLE:(Required)

Date Signed:(Required)

BELOW IS A COPY OF OUR DAMAGE WAIVER POLICY. IF YOU CHOOSE NOT TO ACCEPT THE DAMAGE WAIVER, WE WILL NEED A COPY OF YOUR CERTIFICATE OF INSURANCE FROM YOUR INSURANCE CARRIER SHOWING COVERAGE OF RENTAL EQUIPMENT AND THE POLICY AMOUNT AND EXPIRATION DATE. YOU MAY FAX THE CERTIFICATE TO OUR OFFICE AT CREDITAPP@ETRA.BIZ.

East Tennessee Rent-Alls, Inc. & Companies

Rental Equipment Damage Waiver

THIS IS NOT INSURANCE AGAINST ANY LOSS OR DAMAGE

If accepted by renter, Lessor (East Tennessee Rent-Alls, Inc. / Celebrate Rentals / Bobcat of Mountain Empire) agrees in consideration of an additional charge of 10 percent of the gross rental charges on this contract and its subsequent periodic invoices, to modify the responsibility of RENTER as indicated below, file a report with the proper law enforcement authorities, and furnish a copy to Lessor within 48 hours of the incident. By renter accepting the Damage Waiver, Lessor waives certain claims against the renter incurred from the direct loss of the rental equipment by fire, theft, or burglary (provided there is evidence of forced entry) of the rental equipment or vandalism of the rental equipment except as follows:
1. Scaffolding and all scaffolding accessories.
2. Theft (other than burglary), abuse, theft by conversion, theft by persons entrusted with the equipment, intentional destruction, loss due to mysterious or unexplained disappearance.
3. Damage or loss occasioned by acts of God (windstorm, hail, lightning, flood, etc.).
4. Damages resulting from neglect or misuse.
5. Use of the equipment in violation of any of the terms of this contract.
Renter's Liability to Lessor is a deductible in the amount of the FOUR (4) WEEKS rental fee for the equipment listed on the front of this contract of each claim for loss as a result of fire, theft, or vandalism. Accessories such as air hoses, tool steel, electric cords, blades, welding cables, and other similar items are excluded from this plan. Renter's payment of Lessor's invoice with the Damage Waiver will be considered acceptance of the Damage Waiver. Accrued rental charges cannot be applied against any deductible. Renter agrees to If Renter has Insurance covering loss of Rented Equipment, Renter shall have their Insurance company provide Lessor, in advance of any rental a certificate of insurance indicating sub-limit dollar amount for equipment rented from others. Renter shall exercise all rights available to them under said insurance, take all action necessary to process said claim and renter further agrees to assign said claim and any and all proceeds from such claim from such Insurance to Lessor.

NOTE: CERTIFICATE OF INSURANCE MUST SPECIFICALLY STATE THAT COVERAGE IS EXTENDED TO RENTED EQUIPMENT. FAX CERTIFICATES OF INSURANCE TO (423) 283-4149, OR MAIL TO EAST TENN. RENT-ALLS; P.O. BOX 3856, JOHNSON CITY, TN 37602

If Renter Declines the Damage Waiver, the renter agrees to pay and be responsible for any and all loss or damage to the equipment until same has been returned to the Lessor, whether or not such loss or damage to the equipment is due to the negligence of the renter, their agents, or employees. In the event equipment is lost or stolen, the renter agrees to be responsible for actual cash value of said equipment. Accrued rental charges cannot be applied against the actual cash value of said equipment. The cost of any repairs will be borne by the renter, whether performed by Lessor, or, at Lessor's option, by others.

LESSOR RESERVES THE RIGHT TO CANCEL THIS PROTECTION PLAN BY MAIL.

COST OF THE Damage Waiver IS 10% OF THE GROSS AMOUNT OF RENTAL CHARGES ON THIS CONTRACT AND IT'S SUBSEQUENT INVOICES.

Please E-mail Complete Credit Application to creditapp@etra.biz or mail to address 3711 Bristol Hwy Johnson City, TN 37601

Credit Report Authorization Form

By my signature below, I authorize EAST TENN RENT-ALLS INC. to obtain a consumer or business credit report on myself or the company. This authorization is valid for purposes of verifying information given on this credit application and determining my eligibility or that of the companies eligibility for credit, renewal of credit and future credit along with any other lawful purpose covered under the FAIR CREDIT REPORTING ACT (FCRA). By my signature below, I hereby authorize all corporations, credit agencies, law enforcement agencies, businesses, and persons to release all information they may have about me or the company. This authorization shall be valid in original and/or copy form.

Applicant name or authorized officer:(Required)

Date:(Required)