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Account Application
Print this page, then click here to go to
and print page 2
Please print both pages of this application. Fill it out completely. Be sure
to include all addresses and account numbers. When done ...
Mail it to us at Percy Rentals,
269
Week Hill Road,
Stowe, VT 05672 or
Fax it to us at (802) 253-8520.
Name of Business: ____________________________________________________
Address: _______________________ City: ________ State:
_______ Zip: _______
Phone: (___) ____________ Contact: _________________ Years
Established: ____
Corporation: _____ Partnership: ______ Federal ID # or SS #:
__________________
List Officers or Partners:
| Name: __________________________ |
Name: __________________________ |
| Address: ________________________ |
Address: ________________________ |
| Address: ________________________ |
Address: ________________________ |
| Phone: (___) ____________ |
Phone: (___) ____________ |
| Title: ____________________________ |
Title: ____________________________ |
Bank References:
| Bank: __________________________ |
Bank: __________________________ |
| Address: ________________________ |
Address: ________________________ |
| Address: ________________________ |
Address: ________________________ |
| Phone: (___) ____________ |
Phone: (___) ____________ |
| Account: _________________________ |
Account: _________________________ |
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