Company/Customer Account Information

Trailer Delivery Contact Information

Trailer Delivery Contact

First Last

Phone Number - Trailer Delivery Contact

Trailer Delivery Address(Required)

Same as Billing Address

Street Address County City State ZIP Code

Billing Information

Federal ID#

State ID#

State Sales Tax#

Federal Q#

Tax Exempt

Yes

** Sales tax based on Trailer Delivery Address

Tax Exempt Certificate(Required)

Max. file size: 50 MB.

Accounts Payable Contact

First Last

Email Address - Accounts Payable

Phone Number - Accounts Payable

Email Address - Invoice Remittance (if different from above)

Phone Number - Invoice Remittance (if different from above)

MSO (Manufacturers Statement of Origin)

Name MSO will be Mailed to(Required)

Company Name

Address MSO will be Mailed to(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name Listed on MSO(Required)

Company Name

Address Listed on MSO(Required)

Street Address Address Line 2 City State ZIP Code

Felling Trailers, Inc. will release the trailer(s) MSO (Manufacturers Statement of Origin) upon receipt of Full payment of trailer. The information provided on this form is for the purpose of setting up account and order information. Company/Customer agrees to pay all invoices according to the terms stated. A 1.5% late fee per month will be charged on any amounts overdue, with a $ 5.00 minimum. If the account is placed for collection, the Company/Customer will be responsible for and remit all fees.

Signature(Required)

First Last

Title(Required)

Date(Required)

REV. A Company-Customer Account Information Form 2025 Marketing Drive Forms 1.3.25

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