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Get Ahern Credit Application 2015-2024

GENERAL TERMS a By completing this Application Ahern is not agreeing to extend credit but is considering whether to allow Applicant to purchase or rent equipment on an open account. All such purchases and rentals are made subject hereto and Applicant shall be deemed the lessee of Ahern s equipment or vehicle. Bond SIC CODE COMPANY PRINCIPALS TRANSACTIONS Name Position Home Address of Ownership HAS THE FIRM OR ANY OF ITS PRINCIPALS EVER FILED BANKRUPTCY Soc Sec YES NO DATE THIS APPLICATION COVERS ALL CURRENT AND FUTURE AUTHORIZED PURCHASES AND RENTALS. BY SIGNING BELOW OR ACCEPTING ANY MATERIALS VEHICLES AND/OR EQUIPMENT EVEN IF THIS APPLICATION OR CONTRACT IS NOT SIGNED APPLICANT AGREES TO ALL OF THE TERMS AND CONDITIONS IN THIS AGREEMENT AND ON ALL RENTAL CONTRACTS. AUTHORITY TO CONFIRM INFORMATION AND OBTAIN CREDIT REPORTS Applicant hereby expressly authorizes Ahern to contact any parties listed herein and to verify any information contained in this Document. The corresponding NOMINAL ANNUAL PERCENTAGE RATE is twenty-four percent 24 per year. c Payment must be made to AHERN RENTALS INC. 1401MINERAL AVE LAS VEGAS NV 89106-4342 or any branch office prior to the last day of the month in which the account becomes due to avoid a FINANCE CHARGE. d The provisions in the Credit Application of Payment for Finance Charges should not be construed as an extension or a waiver of any due date of any amounts payable by customer nor do such provisions authorize payment of invoice charges on an installment basis. 1401MINERAL AVE LAS VEGAS NV 89106-4342 or any branch office prior to the last day of the month in which the account becomes due to avoid a FINANCE CHARGE. d The provisions in the Credit Application of Payment for Finance Charges should not be construed as an extension or a waiver of any due date of any amounts payable by customer nor do such provisions authorize payment of invoice charges on an installment basis. 3. MISCELLANEOUS TERMS a AHERN RENTALS INC. may at its option require its Applicant to enter into a security agreement at the time of purchase. Toll Free 800 589-6797 Phone 702 647-8100 Fax 702 966-4820 E-mail CA ahern.com CREDIT DEPARTMENT 1401 Mineral Ave Las Vegas NV 89106-4342 CREDIT APPLICATION/CUSTOMER AGREEMENT You the Applicant are applying for credit from Ahern Rentals Inc. Ahern for the purpose of obtaining rentals products and/or services from Ahern. Applicant understands and expressly agrees that the information provided in this Credit Application/Customer Agreement to Ahern is being provided for the purpose of obtaining credit and other terms as herein contained. Applicant further understands that Ahern is relying upon the accuracy of this information. Applicant therefore represents and warrants that the information provided is true and complete. Applicant further understands and agrees that Applicant has an on-going affirmative duty to notify Ahern immediately of any material change in Applicant s financial status and of any change in the information provided herein* Where the word Applicant is used herein it includes the undersigned* Company Legal Name Telephone Fax Number Physical Address City State Zip Billing Address Description of Business E-Mail Address Annual Sales BUSINESS STRUCTURE In Business Since Number of Employees Corporation-Publicly held Corporation-Closely held Partnership-Limited Sole Proprietorship If a division or subsidiary name of Parent Corp If incorporated date of incorporation and state of corporation LICENSING INFORMATION Contractors License No* Federal Tax No Bond Co. .

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