Rapid Ways Truck Leasing

Rapid Ways Truck Leasing: Credit Application

We lease to corporations only. If applicant is not a corporation, please do not complete.

To establish an account with Rapid Ways Truck Leasing, please either fill out the form below to provide your information online or click on the link below to obtain a pdf copy of our credit application to either email or fax.

  All fields are required.
Corporation Full Name:
Contact Name:
Email Address:
   
Address:
City:
State:
Zip:
Phone Number: --
Principal Owner:
 
 
  OFFICERS:
President:
Vice President:
Secretary/Treasurer:
Years In Business:
Affiliated Companies:
Type of Business:
Purchase orders will be furnished for truck & trailer rentals? Yes
No
Purchase orders will be furnished for service & parts? Yes
No
Number of Trucks You Are Operating Now:
 
 
  BANK INFORMATION:
Bank Name:
Bank Contact:
Bank Address:
Bank City:
Bank State:
Bank Zip:
Bank Phone Number: --
 
 
  LIST 4 CREDIT REFERENCES. AT LEAST 2 YEARS EXPERIENCE WITH EACH.
1. Reference Name:
1. Contact:
1. Phone Number: --
   
2. Reference Name:
2. Contact:
2. Phone Number: --
   
3. Reference Name:
3. Contact:
3. Phone Number: --
   
4. Reference Name:
4. Contact:
4. Phone Number: --
   

PLEASE ATTACH FINANCIAL STATEMENT

I certify to Rapid Ways Truck Leasing, Inc. ("Creditor") that the above information is true and corrent. I authorize Creditor to investigate and otherwise verify the completeness and accuracy of the foregoing application as well as any other matters directly or indirectly bearing on the creditworthiness of the applicant named above. I hereby state that Creditor may rely on the foregoing statements as being accurate without further inquiry. I authorize any person or entity having knowledge of the creditworthiness of applicant to disclose credit, asset and liability information, pertaining to applicant, Creditor and a photocopy of this document shall have the same force as an original for purposes of such authorization. In the event if Creditor shall retain the services of legal counsel or collecting any debt which applicant owes to Creditor, applicant agrees to reimburse Creditor for Creditor's reasonable legal fees incurred in such collection effort together with interest on all past due sums at a rate of 18% per annum from the due date until paid.

I (we) authorize Rapid Ways Truck Leasing, Inc. to investigate our credit history including, but not limited to, obtaining personal credit reports on the owner listed on this application.

Signed By*: Title:
*By typing your name above, you agree that this constitutes as a signature.
   
In order to induce Rapid Ways Truck Leasing, Inc. ("Creditor") to extend financial accommodation for the account ("Debtor") now and in the future, whether such financial accommodation is in the form of selling goods, material or services on credit, or otherwise, the undersigned ("Undersigned") hereby unconditionally guaranties payment when due of any and all indebtedness ("Debt") of Debtor in endeavoring to collect any of the Debt or in enforcing this Guaranty. The Undersigned expressly waives: presentment demand and protest; notice of acceptance of this Guaranty; notice of the creation of any Debt; and notice of non-payment on the Debt. Creditor may, from time to time, without notice to or consent any of the Undersigned, and without in any way affecting any of the Undersigned's liability or Creditor's rights, alter, accelerate, extend, renew or change the time, place, manner or terms or payment of or grand indulgences with respect to any of the Debt.
   
Guarantor 1:
Guarantor 2:
   
  All fields are required.
Security Check: Please type the words
displayed to the right:
 
Rapid Ways Truck Leasing