TOYOTA Material Handling Ohio Toyota Material Handling Ohio Customer Application Please complete this application by entering the information requested below. Incomplete applications may cause delays in approval. Please include a valid, signed tax exempt certificate if applicable. We limit the collection of information about our customers to what we need to know to qualify them for credit. Toyota Material Handling Ohio respects your privacy and is committed to protecting it at all times APPLICANT INFORMATION : Bill To: Ship To: Street: Street: City: State: Zip: City: State: Sales Tax #: Email Address: Zip: Phone: Fax: Accounts Payable Contact: Phone Number & Extension: Federal ID #: Tax-exempt ☐ If your company is tax-exempt a certificate(s) must be returned with this information. If a complete tax Accounts Payable Fax: exemption certificate is not received Toyota Material Handling Ohio MUST charge sales tax on your invoices. BUSINESS INFORMATION (check all that apply) ☐PUBLIC ENTITY ☐PRIVATE ENTITY . ☐CORPORATION ☐PARTNERSHIP ☐PROPRIETERSHIP ☐OTHER (please specify) PARENT COMPANY (if applicable) SIC CODE / Class DUNS Number Years in Business BANK AND TRADE REFRENCE INFORMATION BANK NAME CITY & STATE : PHONE# FAX# ACCOUNT NUMBER OFFICERS NAME TRADE REFERENCE NAME PHONE# FAX# CONTACT NAME ACCOUNT NUMBER TRADE REFERENCE NAME PHONE# FAX# CONTACT NAME ACCOUNT NUMBER TRADE REFERENCE NAME PHONE# FAX# CONTACT NAME ACCOUNT NUMBER Cleveland 5667 East Schaaf Road Cleveland, OH 44131 (800) 722-1211 Fax: (216) 328-0870 Toledo 8310 Airport Highway Holland, OH 43528 (800) 223-8025 Fax: (419) 865-3836 Columbus 7461 Worthington-Galena Rd Columbus, OH 43085 (877) 265-5438 Fax: (614) 896-2368 TOYOTA Material Handling Ohio TERMS AND CONDITIONS MUST BE COMPLETE IN ORDER TO CONSIDER OPEN ACCOUNT TRADE CREDIT TERMS THIS CREDIT APPLICATION AGREEMENT IS SUBMITTED BY THE ABOVE-NAMED APPLICANT TO TOYOTA MATERIAL HANDLING OHIO TO OBTAIN TRADE CREDIT. THE APPLICANT ACKNOWLEDGES THAT CREDIT EXTENDED HEREUNDER SHALL BE USED SOLELY FOR BUSINESS PURPOSES. IN MAKING THIS APPLICATION, APPLICANT AGREES AND UNDERSTANDS THAT ALL ACCOUNTS ARE PAYABLE ON OR BEFORE 30 DAYS FROM DATE OF INVOICE FOR PARTS AND/OR SERVICES RENDERED AND 10 DAYS FOR NEW/ USED EQUIPMENT. APPLICANT ALSO AGREES TO PAY LATE CHARGES ON ALL AMOUNTS THAT ARE PAST DUE UP TO THE HIGHEST RATE ALLOWED BY LAW. IF APPLICANT SHOULD DEFAULT ON ANY PAYMENT, TOYOTA MATERIAL HANDLING OHIO RESERVES THE RIGHT TO DECLARE ALL INVOICE AMOUNTS DUE AND PAYABLE WITHOUT NOTICE TO APPLICANT. APPLICANT AGREES TO ADHERE TO TOYOTA MATERIAL HANDLING OHIO STANDARD TERMS AND CONDITIONS OF SALE AND SERVICE. ☐ I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THIS APPLICATION ON BEHALF OF APPLICANT; I HAVE READ THE TERMS AND CONDITIONS DESCRIBED ABOVE AND APPLICANT AGREES TO SUCH TERMS AND CONDITIONS. PRINTED NAME & TITLE OF AUTHORIZED REPRESENTATIVE SIGNATURE OF AUTHORIZED REPRESENTATIVE: DATE: Cleveland 5667 East Schaaf Road Cleveland, OH 44131 (800) 722-1211 Fax: (216) 328-0870 Toledo 8310 Airport Highway Holland, OH 43528 (800) 223-8025 Fax: (419) 865-3836 Columbus 7461 Worthington-Galena Rd Columbus, OH 43085 (877) 265-5438 Fax: (614) 896-2368 TOYOTA Material Handling Ohio FOR OFFICE USE ONLY Requestor Information Branch: ☐Cleveland ☐ Columbus Department: ☐New / Used Equipment ☐ Toledo ☐ Parts /Service/ Rental Credit Limit Requested: New/Used Equipment $ Part/Service/Rental $ Accounting Department Approvals Approved By D&B Pulled? Date Approved (If yes attached to application) Account Number Cleveland 5667 East Schaaf Road Cleveland, OH 44131 (800) 722-1211 Fax: (216) 328-0870 Credit Limit $ References (attach to application) Ship to Account# (if applicable) Toledo 8310 Airport Highway Holland, OH 43528 (800) 223-8025 Fax: (419) 865-3836 . Columbus 7461 Worthington-Galena Rd Columbus, OH 43085 (877) 265-5438 Fax: (614) 896-2368