�� 829 W. Newton� Rd.�� Bowling Green, Ohio� 43402

�� Ph. (419) 352-4646�� Fax (419) 354-0818

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�� Rental, Sales and Service of Quality Tools and Equipment�

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� Return to the Bee Gee Rental Home Page

APPLICATION FOR CREDIT

Print out this application, fill it out, and see directions at the end of this page.

The establishment of this account, if approved will eliminate the need for deposits and advance payment and will allow you to pay monthly from a convenient statement which will reflect all invoices and total charges.� We are happy to process this application for you.� Credit applications are processed by mail and/or fax.� Most applications are processed by us within 24 hours, however� it cannot be approved until we have received replies from your references.� Providing fax numbers can speed up the approval process.� All requested information MUST be provided and the application signed by an authorized agent before any application can be processed.

Name of Company

Or Individual __________________________________________________ Telephone (____)_____-__________

Mailing Address___________________________________________________Fax No. (____)_____-__________

City__________________________State_______________Zip________� Owner/Mgr_______________________

Shipping Address if Different____________________________________________________________________

Bank Reference __________________________________________City _________________________________

Contact_______________________________Phone (____)____-___________Fax (____)_____-_____________

Business Referenece

Name_________________________________________Phone (____)____-________ Fax (____)____-_________

Address_____________________________________City_______________State___________Zip_____________

Name_________________________________________Phone (____)____-________ Fax (____)____-_________

Address_____________________________________City_______________State___________Zip_____________

Name_________________________________________Phone (____)____-________ Fax (____)____-_________

Address_____________________________________City_______________State___________Zip_____________

Are you exempt from Ohio Sales Tax?� [� ]Yes [� ] No� (If yes, Please provide us with a tax exemption certificate or request one from us.� An Exemption certificate must be on file or you must pay sales tax.� Individual exemptions must be signed before the contract is closed.

PLEASE MAKE SURE THAT ALL INFORMATION IS COMPLETE SO THAT WE MAY PROCESS THIS APPLICATION AS QUICKLY AS POSSIBLE.

More information and signatures are required on the reverse side (or page two on faxed applications)

Page 1 of 2

Please read all account terms and information before signing this application

TERMS AND CONDITIONS

�A copy of all final charges (Rental Contract Closing or Sales Invoice) will be provided to you or your employee upon completion of all transactions.� THIS COPY SHOULD BE RETAINED AND TURNED IN TO YOUR OFFICE FOR PAYMENT.� In the event that a rental item was picked up by us from a job site, a closing copy will be mailed to you.� A statement will be mailed on the last day of each month detailing your account.� This should be reconciled against invoice copies for payment.� If you receive a statement, our records indicate an unpaid balance due and you should inquire about copies of invoices you do not have.� Payment for the outstanding amount indicated on the statement is due by the 10^th of the following month and is considered past due after the 25^th.� Past due accounts are accessed a finance charge of 2% per month (24% annual, $.50 minimum monthly charge)�

FINANCE CHARGES ARE NOT OPTIONAL!� ��Accounts that are over 60 days past due will be placed on COD.� Accounts over 90 days are closed and placed for collection.� Tax Exemption claims made without an exemption certificate or after the transaction has been finalized can not be accepted.

Our rental agreement provides for damage waiver coverage on rental equipment and all rental rates are quoted with damage waiver.� Damage Waiver means that, in exchange for a fee that is calculated as a percentage of the of the rental charge, we will waive the charges for accidental damages to rental equipment up to $250.00 (certain damages such as tire damage, misuse and loss are not covered.� See contract for complete terms and exclusions).� Damage Waiver is not� insurance and those charges to which damage waiver applies are not generally covered by most insurance companies.� If you wish to decline the automatic damage waiver coverage, you will be held financially responsible for any and all damages to rental equipment.

I have read all of the terms and conditions and agree to abide by the above terms and certify that all information provided is accurate and that I am authorized to request this account and commit the above company to the terms and conditions.

______________________________________�� _______________________�� _____________

�� (Signed)�� (Title)�� (Date)

Is a Purchase Order Required?� [� ] Yes� [�� ] No� You may restrict charges to certain persons by providing us with a list of names below.

I decline Damage Waiver coverage and accept responsibility for all damages to rental equipment� [�� ] Yes�� [�� ] No

The following persons may charge to this account once it is approved.� (You may amend this list at any time)� We will require authorization from your office before allowing employees not listed to charge to your account.

Name of Person to Contact for Authorization:______________________________________

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____________________________________�� _______________________________________

When you have completed this application, mail it to:

Bee Gee Rental and Sales

829 West Newton Rd.

Bowling Green OH, 43402

Or fax it to us at (419) 354-0818