Credit Application
Sunflower Rental, Topeka
2010 South Topeka Blvd
Topeka Kansas 66612
785-233-9487
785-233-8721
Fax 888-942 9487 Toll Free
Sunflower Rental, Lawrence
3301 West Sixth Street
Lawrence Kansas 66049
785-832-8767
785-832-0070 Fax
800-294-8767 Toll Free
Blue Springs Rentals, Inc.
1615 West 40 Highway
Blue Springs Missouri 64015
816-229-3333
816-229-4062 Fax
888-294-6388 Toll Free

 


The undersigned company is applying for credit with Sunflower Rents, Inc. dba Sunflower Rental, and/or Blue Springs Rentals, Inc., a subsidiary of Sunflower Rents, Inc. and agrees to abide by the standard terms and Conditions of Sunflower Rental and/or Blue Springs Rentals, Inc.

__________________________________________________________________

Are you a corporation *

Names, titles, and addresses of your three

__________________________________________________________________

Are you a Partnership *

__________________________________________________________________

Are you a Sole Proprietorship? *

If 'yes' to above,

Are you sales tax exempt?
Have you ever had credit with us before?

__________________________________________________________________

Has the individual, firm or any of its principals ever filed bankruptcy?
Purchase order required? *

__________________________________________________________________


TRADE REFERENCES


Reference #1

Reference #2

Reference #3

BANK REFERENCES


Bank #1

Bank #2

I represent that the above information is true and is given to induce Sunflower Rents, Inc. and/or Blue Springs Rentals, Inc. to extend credit to the applicant. My company and I authorize Sunflower Rents, Inc. and/or Blue Springs Rentals, Inc. to make such credit investigation as Sunflower Rents, Inc. and/or Blue Springs Rentals, Inc. sees fit, including contacting the above trade references and banks and obtaining credit reports. My company and I authorize all trade references, banks, and credit reporting agencies to disclose to Sunflower Rents, Inc. and/or Blue Springs Rentals, Inc. any and all information concerning the financial and credit history of my company and myself.


I have read the terms and conditions stated below and agree to all of these terms and conditions.

Click the 'Yes' box to acknowledge the above two paragraphs. *

Type the characters you see in the picture below



GENERAL TERMS AND CONDITIONS AND PERSONAL GUARANTEE

  1. Statements are sent on the first day of each month.
  2. Bills become payable in full on the 10th day of the month and if not paid by the end of the month are considered past due.
  3. A service charge of 1.5% per month will be added to all amounts billed if not paid by the end of the month.
  4. No additional credit will be extended to past due accounts unless satisfactory arrangements are made with our credit department. Applicant agrees to pay any and all collection costs insured to collet the balance amount, including reasonable attorney fees.
  5. PERSONAL GUARANTEE: If the credit customer is a corporation, then those signing this application, whether signing as an officer or not, personally guarantee payment for all items purchased on credit by the corporation.