Online Application for Credit

(please fill in ALL fields)

For a printer-friendly version to fax, click here.

Company Name:
Street Address:
City / State / Zip:
/ /
Phone:
Fax:
Email:
Full Name(s) of Owner(s):
1.
2.
3.
Type of Business:
Years in Business:
How did you learn about our company?
Trade References
Reference 1
Name:
Phone:
Address:
Reference 2
Name:
Phone:
Address:
Reference 3
Name:
Phone:
Address:
Reference 4
Name:
Phone:
Address:
Should you approve this application, I (we) undersigned agree to pay for all the services performed according to your terms which are Net 30 days. Invoices, not paid when due are subject to a finance charge of 1 1/2% per month. Cranes & Equipment Specialists of Chicago, Inc. is authorized to contact any references listed above solely for the basis of granting credit. Confirm by checking the 'I agree' checkbox, and entering an authorized name and title.
I Agree to the terms above
Authorized Name:
Title:
 
Home | Crane Rental | Crane Service | Used Crane Equipment | Parts & Accesories | Request A Quote | Contact Us
© 2005 Cranes & Equipment Specialists of Chicago, Inc. All Rights Reserved.
Toll-Free: 1-800-427-1150 • Fax: 708-974-2528
Site Design: Spectrum Communications & Consulting, Inc.