Credit Application

    Asterisk (*) indicates Required Field


    Bank References (Include personal bank if proprietorship or partnership)

    Equipment dealerships or suppliers that have extended credit to you

    Creditor 1

    Creditor 2

    Creditor 3

    Creditor 4

    The undersigned consents to and authorizes our bank and trade references to release financial information to HJV Equipment and/or outside credit agency. Should a charge account be approved, I/we agree to pay the outstanding in accordance with our terms of sale (Net 30). I/we agree to pay an interest charge of 2% per month on any overdue balance.

    I Accept

    Do you require a callback?

    Do you have a pending order?