Company Rental Application

    Transportation Rental & Sales, Inc.
    Southwest Great Dane Trailers    		 Date
    3531 2nd Street SW
    Albuquerque, NM 87105
    (505) 877-1615
    (800) 876-1615
    (505) 873-3140 Fax
    Transportation Rental & Sales, Inc. requires liability and collision insurance coverage on all vehicles rented. Transportation Rental & Sales, Inc. must have a certificate listing TRSC, Inc. as an addidtional insured and loss payee, also must show damage coverage with a deductable no greater than $1000.00. Transportation Rental & Sales, Inc. does not rent to third parties.


    Business Information
    Company Name:

    Company Address
    Billing Address
    Contact Information:
    Rental Contact Information:
    Business Details


    PO Required:
    Federal ID Number:
    		 Social Security Number:
    Is Business:
    Name of Owners, Partners, Officers
    Insurance Information:
    Insurance Company:
    		 Agent Contact
    Phone:
    		 Fax:
    List Local References with Open Accounts (Provide Account Numbers where Applicable)
    Bank Information>
    Principle Bank:
    Account Number:
    Contact Name:
    Contact Information:
    Branch or Location:
    I, the undersigned, do hereby authorize the release of the information required to complete the credit process to Transportation Rental & Sales, Inc. AKA Southwest Great Dane Trailers.

    Print Name: