Credit Application

Thank you for choosing Commonwealth Equipment Corporation for all your Crushing and Screening needs!

Payment Terms:
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

Payment Methods:
Checks may be mailed to the address below.
We also accept all major credit cards!

Tax Status:
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.

Contact Information:
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







Will you be doing business with Commonwealth Equipment under any other name?












Please send my invoices to the address below


Please ship my order to the address below


Primary company phone number








Please provide your company's Tax ID


Will you be renting equipment, or buying parts/service?


Estimated Monthly Purchases




Will you be exempt from sales tax on purchases from Commonwealth Equipment?


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.



























Please provide contact information for three trade references.



































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.




Name







Anything else we should know?






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