Thank you for choosing Commonwealth Equipment Corporation for all your Crushing and Screening needs!
Net 30 days for parts and service
Accounts over 60 days become COD until made current
Equipment Rentals are due at start of each rental
Downtime must be reported IMMEDIATELY to Faithe Buzza
Checks may be mailed to the address below.
We also accept all major credit cards!
We collect and remit sales tax in Pennsylvania, Maryland, Virginia and West Virginia.
Tax Exempt Certificates must be received at the time of purchase, or invoiced sales tax is due and payable until a certificate is received.
Toll Free: 877-217-4474
Parts & Service – Andy Powell – Ext 408
Billing & Downtime – Faithe Buzza – Ext 401
Accounting – Joyce Morrash – Ext 409
A/R and Credit Card Payments – Rob Lent – Ext 407
Commonwealth Equipment Corporation
36 Hazleton Street
Ashley, PA 18706
Name of Purchaser
Parent Company, DBA, etc.
Will you be doing business with Commonwealth Equipment under any other name?
Primary Company Address
Address Line 2
Alternate Billing Address (Optional)
Please send my invoices to the address below
Alternate Shipping Address (Optional)
Please ship my order to the address below
Primary company phone number
Yrs. Doing Business
Dun & Bradstreet #
Please provide your company's Tax ID
Type of Account Requested
Will you be renting equipment, or buying parts/service?
Estimated Monthly Purchases
Will you be exempt from sales tax on purchases from Commonwealth Equipment?
I am Taxable
I am Tax Exempt
Please upload a copy of your W-9, and tax exempt certificate (if applicable).
Please provide information about a corporate officer, who is authorizing purchases from Commonwealth Equipment.
Officer Name & Title
Mobile or Primary Phone
Purchasing Contact Name
Purchasing Contact Phone
Accounts Payable Info
Primary A/P Contact Name & Title
Please provide contact information for three trade references.
Trade Ref 1 Name
Trade Ref 1 City
Trade Ref 1 State
Trade Ref 1 Phone
Trade Ref 1 Fax/Email
Trade Ref 2 Name
Trade Ref 2 City
Trade Ref 2 State
Trade Ref 2 Phone
Trade Ref 2 Fax/Email
Trade Ref 3 Name
Trade Ref 3 City
Trade Ref 3 State
Trade Ref 3 Phone
Trade Ref 3 Fax/Email
The information on this form is submitted for the purpose of opening a credit account or qualifying for financing. I do hereby certify this information is true and correct to the best of my knowledge. By the digital signature of the applicant (officer, principal, owner, or partner), I hereby authorize Commonwealth Equipment to run a full investigation of my credit history including, but not limited to, obtaining a consumer credit report.
I acknowledge I have read, and agree to comply with, the payment terms listed above. I understand late fees of 1.5% per month will be applied to any overdue balances along with reasonable collections and attorney fees, if applicable.
I understand and agree
Anything else we should know?
Send me a copy of my responses
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