Credit Application - Ballard Truck Centers

Parts & Service Credit Application

Step 1 of 14

Parts & Service Credit Application

Thank you for your interest in a credit account with Ballard Truck Centers. Your account will allow you to charge your purchases in our Parts and Service departments at all our locations. Credit accounts do not apply to purchases of new or used vehicles. Please note this form could take 15-20 minutes to complete.

Preferences

Please tell us about your company's preferences.

Do you require Purchase Orders? (PO's)(Required)

Yes

How would you like to receive your monthly statement?

We will use the address or email listed in the previous section.

I would like to be set up with access to my A/R Portal.(Required)

Yes

We will use the name and email provided for billing contact. Please note: we are not accepting payments through the portal at this time.

Contacts

Please tell us who we should add as contacts at your organization.

Accounts Payable Name

First Last

Accounts Payable Email

Accounts Payable Phone Number

Sales Contact Name

First Last

Sales Contact Email

Sales Contact Phone Number

Parts Contact Name

First Last

Parts Contact Email

Parts Contact Phone Number

Service Contact Name

First Last

Service Contact Email

Service Contact Phone Number

Bank Reference

Please tell us more about a bank where you've held at least one checking account.

Bank Name

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Number

Contact

First Last

Trade References

If able, please tell us three other companies you do business with in the truck parts and service industry.

Reference 1

Company Name

Reference 1 Address

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

Reference 1 Phone Number

Reference 2

Company Name

Reference 2 Address

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

Reference 2 Phone Number

Reference 3

Company Name

Reference 3 Address

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

Reference 3 Phone Number

Acknowledgments

Please review the following agreements. This credit application may be executed by an electronic signature in compliance with Massachusetts law governing electronic signatures. Electronic signatures shall be considered as valid and binding as original signatures. Documents exchanged electronically (i.e., by email or fax) shall be treated as valid and binding the same as original documents.

Credit Agreement & Terms of Sale

The applying customer, and its parents, subsidiaries, successors and assigns (“Customer”), agrees to the terms of sale herein and as they may be stated, modified or amended on invoices from Ballard Mack Sales & Service, Inc. (“Ballard Truck Center”) to Customer. Credit shall at all times be limited to such amounts as Ballard Truck Center shall, in its sole discretion, determine, including providing no credit. The Customer shall be responsible for all charges incurred by its employees or agents, unless the Customer provides prior written notice restricting the persons authorized to deal with Ballard Truck. Invoices are due Net 30. Acceptance of less than the full invoice amount by Ballard Truck Center shall not be construed as a waiver of the right to full payment. The Customer agrees that interest shall accrue at the rate of 1.5% per month or the maximum allowed by law, whichever is less, on any delinquent amounts. The Customer agrees to pay all costs of collection, including attorneys’ fees, incurred by Ballard Truck Center upon breach of this agreement or any invoice. This agreement shall be governed by the provisions hereof and the laws of Massachusetts. The parties both WAIVE THE RIGHT TO A TRIAL BY JURY in any action to enforce the terms of this agreement or in any dispute with Ballard Truck.

Credit Agreement & Terms of Sale authorized signature(Required)

Credit Agreement & Terms of Sale Signer's Name(Required)

First Last

Credit Agreement & Terms of Sale Signer's Title(Required)

Unconditional Personal Guaranty

Required for applications for corporations and LLCs. In consideration for the extension of credit to the above Customer, the undersigned guarantor(s) (“Guarantor”), jointly and severally if more than one, absolutely and unconditionally guarantee the full and timely payment of all amounts due or to become due by Customer to Ballard Truck Center, including interest and all costs of collection. This unconditional guaranty shall be binding upon the Guarantor and its heirs, executors, administrators, representatives, and assigns. Guarantor hereby waives notice of acceptance of this guaranty, notice of changes of the agreement or other terms between the Customer and Ballard Truck Center, notice of default and any other requirement or notice necessary to bind it hereunder. Guarantor waives all defenses except the defense of payment. Guarantor agrees to pay all costs of collection, including attorneys’ fees, incurred by Ballard Truck Center in connection with any dispute with Ballard Truck. This guaranty shall be governed by the provisions hereof and the laws of Massachusetts. The Guarantor WAIVES THE RIGHT TO A TRIAL BY JURY in any action to enforce the terms of this agreement or in any dispute with Ballard Truck.

Unconditional Personal Guaranty authorized signature

Unconditional Personal Guaranty Signer's Name

First Last

Unconditional Personal Guaranty Signer's Home Address

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

Unconditional Personal Guaranty Signer's Personal Phone

Unconditional Personal Guaranty Signer's Personal e-Mail

Parts & Service Credit Application

Parts & Service Credit Application

Company Information

Preferences

Contacts

Bank Reference

Trade References

Acknowledgments

Family-owned. Reliable service.

Connect with Us

Ballard eNewsletters

(Required)

Parts & Service

Trucks, Trailers, Lease & Rent

Subscribe to All
Email(Required)

Family-owned.
Reliable service.

Connect with Us

Ballard eNewsletters

(Required)

Parts & Service

Trucks, Trailers, Lease & Rent

Subscribe to All
Email(Required)