UKTS & PSL Credit Application | Utility Keystone Trailer Sales, Inc.

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What are you applying for? *

Please check all that apply.

Parts & Service

Trailer Purchase

Lease & Rental - PennStro Leasing

First Name *

Middle Initial

Last Name *

Office Phone Number *

Cell Phone Number

Fax Number

Email Address *

Credit Line Amount Requested *

Company Name *

Company Website

Type of Business

Company Physical Address

Street Address *

City *

State *

Zip *

Company Mailing Address

Same as Current Address

Yes

Street Address *

City *

State *

Zip *

Is your Shop Contact different than the Primary Contact listed? *

Shop Contact First Name *

Shop Contact Last Name *

Shop Contact Phone *

Shop Contact Email *

Is your Parts Contact different than the contact(s) previously listed? *

Parts Contact First Name *

Parts Contact Last Name *

Parts Contact Phone *

Parts Contact Email *

Federal ID Number *

PO # Required? *

Tax Exempt? *

Tax Exempt # *

If this will be tax exempt, we will need you to send us a copy of your exemption certificate.

Date Operation Began *

Month

Day

Year

Number of Employees

US DOT Number *

ICC/MC # *

Principal Owner First Name *

Principal Owner Last Name *

Principle Owner Email Address *

Accounts Payable Contact First Name *

Accounts Payable Contact Last Name *

Accounts Payable Contact Email Address *