Corporate Vice President:
Please List Those Who Are Authorized To Pick Up Equipment:
Do You Require Purchase Order Numbers? Yes No
For damage waiver exemptions - please send a certificate of insurance with UniRents as the
Are You Tax Exempt? Yes No
(if yes, please send a copy of your certificate)
Please List Trade References:
If you're human leave this blank:
A finance charge of 1 1/2% of the unpaid invoice will be
assessed at 30 days.
I, hereby certify to the above
statements and agree to abide by the credit terms set forth by UniRents, Inc.