Credit Application

New Customer Account | Credit Application

Do you have a pre-prepared customer data sheet you would like to provide?(Required)

Yes

Pre-prepared Customer Data Sheet Upload(Required)

Max. file size: 128 MB.

Company Name(Required)

Company Invoice-To (Billing) Address(Required)

Street Address Address Line 2 City State ZIP Code

Company Ship-To Address(Required)

Same as billing

Street Address Address Line 2 City State ZIP Code

Please select below why you obtained an Account Application (you may select more than one option).(Required)

New Equipment Purchase

Rental

Service

Parts

Which branch locations will you require service? (you may select more than one option).(Required)

Accounts Payable Information

Accounts Payable Contact(Required)

First Last

Accounts Payable Phone(Required)

Accounts Payable E-mail(Required)

Contact Information

Person filling out this application.

Contact Name(Required)

First Last

Contact Phone Number(Required)

Contact Email(Required)

Business References

Reference 1: Company Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number(Required)

Email(Required)

Type of Account

Reference 2: Company Name(Required)

Address 2(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number 2(Required)

Type of Account 2

Reference 3: Company Name(Required)

Address 3(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number 3(Required)

Type of Account 3

Addition Account Information

D&B (D.U.N.S) Number (if known)

Are you TAX EXEMPT?(Required)

YES

TAX EXEMPT CERTIFICATE (if applicable)(Required)

Max. file size: 128 MB.

Do you require Purchase Orders?(Required)

YES

Black Equipment's standard terms of payment for all customer accounts is Net 30.(Required)

I acknowledge Black Equipment’s standard terms of payment

Do you have special procedures for invoice routing?(Required)

Yes

Do you require a W9?(Required)

Yes

If you do require a W9, please provide email address to send it to.(Required)

Please attach any additional forms for Vendor Set Up

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 128 MB.

Please explain your company's invoice routing procedure.

Credit Terms

All new customers who qualify for credit are granted terms of Net 30 days. Any alternatives must be approved by management.

Once approved, an email will be sent advising of your terms and credit limit.

Online Payment Portal (Billtrust)

Black Equipment offers customers access to an online portal called Billtrust to view and pay invoices.

When you receive your first invoice, an enrollment token and registration link will be located at the bottom of the invoice.

Access the Billtrust Portal →

By clicking ‘Submit’, you agree to recurring SMS/MMS/email messages from Black Equipment Company, Inc., and our Terms & Conditions. Freq varies; msg/data rates may apply. Reply STOP to opt out, HELP for info. No mobile info shared with 3rd parties for marketing—see Privacy Policy.

New Customer Account | Credit Application

Accounts Payable Information

Contact Information

Business References

Addition Account Information

Credit Terms

Online Payment Portal (Billtrust)

Want to talk to someone directly?

We’re Hiring! See our open positions

Equipment

Industries

Services

About us

Online Catalog

Customer Portal

In the News

JOBS

Credit Application

Find Locations