Apply for credit with Advanced Equipment Rental — oilfield equipment rental in Midland, Texas

Open an Account

CREDIT APPLICATION

Set up a credit account for streamlined rentals. Fill out the form below or download the PDF to submit by email or in person.

Prefer paper? Download the PDF credit application.

Download PDF

PRIMARY CONTACT

Contact Name *

Title

Phone

BILLING / ACCOUNTS PAYABLE

Billing Address (if different)

City

State

Zip

TRADE REFERENCES

Please provide at least two trade references.

Reference 1

Company Name

Contact Name

Phone

Reference 2

Company Name

Contact Name

Phone

Reference 3

Company Name

Contact Name

Phone

BANK REFERENCE

Bank Name

Contact Name

Phone

Account Number

I certify that the information provided is true and accurate. I authorize Advanced Equipment Rental to verify the information and obtain credit reports as necessary. I agree to the terms and conditions of the rental agreement.

Authorized Signature (Type Full Name) *

Title

Date *

CREDIT APPLICATION

COMPANY INFORMATION

PRIMARY CONTACT

BILLING / ACCOUNTS PAYABLE

TRADE REFERENCES

Reference 1

Reference 2

Reference 3

BANK REFERENCE