Dealer Application - Douglas Trailers, Inc

Dealership Information

Product Line Applying For

Date Business Started

Company Name

Phone

Email

Business Type

Service Capabilities

Registered Company Address

City, State, ZIP Code

Business & Credit Information

How Long at Current Address?

Bank Name

Primary Business Address

Primary Business City, State, ZIP

Bank Address

Bank City, State, ZIP

Business Phone

Bank Phone

Business Email

Account Number

Website

Type of Account

Method of Payment

Floorplan Company

Floorplan Account Number

Method of Transportation

Business / Trade References

Reference 1 Company Name

Reference 1 Phone

Reference 1 Address

Reference 1 City, State, ZIP

Reference 1 Fax

Reference 1 Email

Reference 1 Type of Account

Reference 1 Other

Reference 2 Company Name

Reference 2 Phone

Reference 2 Address

Reference 2 City, State, ZIP

Reference 2 Fax

Reference 2 Email

Reference 2 Type of Account

Reference 2 Other

Reference 3 Company Name

Reference 3 Phone

Reference 3 Address

Reference 3 City, State, ZIP

Reference 3 Fax

Reference 3 Email

Reference 3 Type of Account

Reference 3 Other

Agreement

Our credit terms are COD and must be paid in full when completed. Cash dealers: all invoices are to be paid via wire transfer prior to pick up, certified funds at time of pick up/delivery, or prepaid by check. Floorplan dealers: loads must be approved through the floorplan company prior to leaving the manufacturer’s facility. The undersigned agrees to pay all collection costs if collection becomes necessary and acknowledges that all information supplied is correct.

Applicant Signature

Printed Name

Title

Date

Personal Guaranty

In consideration for credit or financial accommodation to the applicant, the undersigned guarantor personally guarantees payment of all indebtedness, obligations, and related collection costs owing now or in the future. This guaranty is absolute, unconditional, and continuing.

Guarantor Signature