Apply for an Account Please click here to print out a Business Credit Application Form and fax it to (417) 882-8663. Online Credit Application Step 1 of 6 16% Company InfomationBusness Name:*Social Security Number or Feferal ID#:*Billing Address:*Phone Number:*Fax Number:Email Address:*Provide Valid Email to gain access to your account online through www.superiorrents.com CUSTOMER PORTAL. There are many features about the customer portal such as: Check your balance, Make a payment, Print statement and more.If you do not wish to have access to your account online, or that you want to have account online please check the box. This is free of charge service.Yes, I want online accessI do not want online access Authorized PersonnelPlease list all employees, agents, sub-agents, etc. that are authorized to sign or receive property on your behalf or on behalf of your business:Special Account Considerations (such as forcing PO number or Job number, etc.): Personal Guarantee In consideration for Superior Rents & Sales, Inc. extending credit to the business identified below for any materialsand/or services after thisdate at the request of applicants or its agents, the undersigned individual hereby personally gyarantees unconditionally and irrevocable the prompt payment of any sums now or hereafter owed to Superior Rents & Sales, Inc. by the business identified below whether said sums are due under open account, contract or Otherwise. It is understood and agreed that credit, if extended, is to be on a continuing basis may exceed estimate maximum. Superior rents & Sales, Inc. shell not be obligated to notify the any extensions of time or any other forbearance which may be extended by Superior Rents & Sales, Inc. This guaranty shall continur in force until notice in writing, sent by registered or certified mail, return receipt requested is received by Superior Rents & Sales, Inc. Said notice shall specify the date on which this guaranty is to beterminated; said date not to be less then seven days after such notice is received. Such termination shall in no way release the undersigned as to an sum or debt incurred prior to such termination. Date: Name (Name of person guaranteeing payment, NO TITLE):FirstLastAddress:Phone:Name of Business whose account is guaranteed: I understand that Superior Rents & Sales, Inc. reserves its right at all times to assert any mechanics' and Materialism's liens that it may be entitled to through the use of rented or leased equipment for improvements made on commercial property pursuant to Chapter 429, RSMo. I hereby agree to take any steps tht may be necessary to assist Superior Rents & Sales, Inc. in perfecting a lien under said chapter, including but not limited to:(i) obtaining the consent of the lien from the owner of such commercial property pursuant to $ 429.013 RSMo.; (ii) notifying Superior Rent & Sales, Inc. in writing of the intent to use the rented or leased equipment to make improvements on commercial property prior to the commencement of the use of rented or leased equipment; and (iii) notifying Superior Rents & Sales, Inc. in writing of the address and telephone number of the owner of such commercial property prior to the commencement of the use of the rented or leased equipment on said commercial property. I hereby agree that all decisions with respect to the extension or continuation of credit shall be in the sole discretion of the Creditor . I agree to be responsible for all costs and expenses of collection and reasonable attorney's fees incurred by Superior Rents &Sales, Inc. enforcing any of the provisions contained herein, or for any losses, costs, expenses and reasonable attorneys' fees incurred by Superior Rents & Sales, Inc. as a result of its reliance on any false or misleading statements made by me herein whether or not such false or misleading statements have been made intentionally or knowingly. By signing below, I am certifying that i have read and agree to all of the foregoing provisions contained within this Credit Application. Printed Name:Title:Date: Bank Reference Bank Name:Phone Number:Address:Types of Accounts Held:Bank Contact Person:Trade Credit References References (1)Company Name:Contact:Address:Phone Number:Fax Number:References (2)Company Name:Contact:Address:Phone Number:Fax Number:Reference (3)Company Name:Contact:Address:Phone Number:Fax Number:AGREEMENT: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.*I AgreeSignature Name:*By signing, I accept the conditions of this agreement.Date I hereby apply for credit and affirm financial responsibility, ability, and willingness to pay invoices in accordance with the published terms. The above information is warranted to be true and complete. I hereby authoriz Superior Rents & Sales, Inc. or its agents to verify and collect information, including but limited to bank references, trade and credit referemces, consumer and/or commercial credit reports. I hereby agree to pay a monthly finance charge of 1.5% on all past due balances. A balance will be considered to be "past due" if applicable, will be assessed from the original statment date. Furthermore, I hereby expressly agree that after the expiration of ninety (90) Day from the date an unpaid balance becomes "past due," Superior Rents & Sales, Inc. may increase the monthly finance charge to the highest percentage then allowed under the Missouri Revised Statutes. I understand that failure to return rented or leased personal property within the time specified in an agreement in writing may subject me to criminal liability and prosecution pursuant to $ 578.150 RSMo. I understand that failure to return rented or leased personal property having a value of under $500.00 may be a class A misdemeanor offense in Missonuri, and that failure to return rented or leased property a the end of the lease term, but does not pay the lease charges agreed upon will subject to prosecution under $ 578.150 RSMo.