Toyota Material Handling Ohio Customer Application
 
 
APPLICANT INFORMATION
 
Bill To:*
 
 
Street:*
 
 
City:*
 
 
State:*
 
 
Zip Code:*
 
 
Phone Number:*
 
 
 
Ship To:
 
 
Street:
 
 
City:
 
 
State:
 
 
Zip Code:
 
 
Phone Number:
 
 
Sales Tax#:
 
 
 
 
 
Accounts Payable Contact:*
 
 
Phone Number & Extension:*
 
 
Email:*
 
 
Federal ID #:*
 
 
Tax-Exempt:*
 
Yes
No
 
If your company is tax-exempt, a certificate(s) must be returned with this information. If a complete tax exemption certificate is not received, Toyota Material Handling Ohio MUST charge sales tax on your invoices. 
File Upload (Tax-Exempt, Credit Sheets, Etc.)
 
 
 
 
 
 
BUSINESS INFORMATION (Select all that apply)
 
Business Entity:
 
 
Business Information:
 
 
Business Information:
 
 
Business Entity:
 
 
Business Information:
 
 
Business Information:
 
 
Parent Company Name & Address (if applicable):
 
 
DUNS Number:
 
 
Years in Business:
 
 
SIC CODE/ Class:
 
 
 
 
 
 
BANK AND TRADE REFERENCE INFORMATION
 
Bank Name:
 
 
City and State:
 
 
Phone Number:
 
 
Fax Number:
 
 
Account Number:
 
 
Officers Name:
 
 
 
Trade Reference Name:
 
 
 
Account Number:
 
 
Contact:
 
 
Phone Number:
 
 
Fax Number:
 
 
 
Trade Reference Name:
 
 
 
Account Number:
 
 
Contact:
 
 
Phone Number:
 
 
Fax Number:
 
 
 
Trade Reference Name:
 
 
 
Account Number:
 
 
Contact:
 
 
Phone Number:
 
 
Fax Number:
 
 
 
 
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. 
 
Applicant's Initials:*
 
 
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:*