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LOCAL 1-513-891-3491
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FAX 1-513-791-8829
E-MAIL blueashtool@fuse.net
24/7 EMERGENCY PAGER 691-2763
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Credit Application
Business Name :
Address :
City, State & Zip :
Phone / Fax :
Names of persons authorized to receive equipment
Local Credit References * Please include a fax number for quicker response *
Bank :
Branch :
I hereby make this online application for credit with the Blue Ash Equipment Rental Center. I, or the company I represent will be responsible for debts incurred with the Blue Ash Equipment Rental Center by myself and those I have listed as authorized persons. A signature will be provided at the time of the first rental.
Applicants Name : Date :