Credit App

Home Credit App

Rental Credit Application

Untitled*
- New Customer
- Returning Customer
SALES TEAM MEMBER*
EQUIPMENT INFORMATION:
Equipment Type*
Quantity*
Term*
Trailer Usage:*
Additional Notes
GENERAL INFORMATION:
LEGAL BUSINESS NAME*
US DOT NUMBER*
DBA*
PHONE*
FAX
BUSINESS STREET ADDRESS*
CITY-STATE-ZIP*
- RENT
- OWN
OWNER*
NUMBER OF YEARS*
E-MAIL ADDRESS*
NUMBER OF EMPLOYEES:*
PO REQUIRED*
- YES
- NO
NO. YEARS IN BUSINESS*
A/P CONTACT*
A/P PHONE*
BUSINESS ADDRESS IS THE SAME AS THEIR BILLING ADDRESS
- Yes
BILLING STREET ADDRESS*
CITY-STATE-ZIP*
TAX EXEMPT*
- YES
- NO
TAX STATUS*
- INDIVIDUAL
- PROPRIETORSHIP
- PARTNERSHIP
- CORPORATION
FEDERAL ID #*
ANNUAL SALES #*
NAME OF PARENT OR RELATED COMPANY:
NO. OF TRUCKS OWNED:*
NO. OF TRAILERS OWNED:*
INSURANCE INFORMATION:
INSURANCE AGENT*
CONTACT*
PHONE*
STREET ADDRESS*
CITY*
STATE*
ZIP*
TYPE OF POLICY*
- BLANKET
- REPORTING
CREDIT INFORMATION - BANK:
BANK NAME/BRANCH LOCATION*
CONTACT*
FAX*
LAST 4 DIGITS of ACCT #*
CREDIT INFORMATION - TRADE REFERENCES:
TRADE REFERENCE 1:*
STREET ADDRESS*
CONTACT*
PHONE*
TRADE REFERENCE 2*
STREET ADDRESS*
CONTACT*
PHONE*
OTHER RENTAL COMPANIES USED
# OF CURRENT RENTAL UNITS
ADDITIONAL INFORMATION:
DRIVERS LICENSE # OF SIGNATORY BELOW*
SOCIAL SECURITY # OF SIGNATORY BELOW*
RESIDENCE*
- RENT
- OWN
STREET ADDRESS OF SIGNATORY'S RESIDENCE*
CITY-STATE-ZIP*
# OF YEARS
PREVIOUS ADDRESS
(PRINT NAME SIGNATURE)
(TITLE)
(DATE)
"I HEREBY CERTIFY THE INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. MO GREAT DANE RESERVES THE RIGHT TO TERMINATE LEASE UPON DEFAULT AND DEMAND PAYMENT IN FULL. MO GREAT DANE ALSO RESERVES THE RIGHT TO ACCEPT OR CANCEL THIS AGREEMENT AT THEIR DISCRETION. I AUTHORIZE A MO GREAT DANE REPRESENTATIVE TO CONTACT ANY OR ALL OF THE ABOVE BANK OR TRADE REFERENCES, AND RUN A COMMERCIAL OR PERSONAL CREDIT REPORT. THIS APPROVAL WILL ALLOW MO GREAT DANE TO UTILIZE CREDIT REPORTING AGENCIES TO OBTAIN CREDIT APPROVAL AND ANY FOLLOWUP REPORTS FOR CREDIT PURPOSES."
SIGNATURE*
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About Us

For over 30 years, MO Great Dane has built & delivered trailers across the U.S. & Canada, winning Dealer of the Year awards from multiple suppliers. From small (owner/ operator) to fleet orders, our focus is on you, the customer: sharing our expert trailer design knowledge, delivering on time, and providing outstanding service.

Our range of products and services is vast. We sell custom designed, bulk order & in-stock trailers; rent semi-trailers; provide service on all types of trailers; and supply trailer parts.