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Grade A Leasing - Credit Application

Please take a few minutes to fill out our Credit Application and we’ll begin processing on receipt.

Account Application Notice:
Premier Trailer Leasing Inc provides trailer rental, leasing, and sales to commercial businesses only. Generally speaking we are looking for companies who have been in business for 2+ years, have low to moderate five-figure average bank balance or better, and commercial trade reference all in good standing. If you fit these criteria, please complete this online credit application.

If you have questions about how to lease a tractor trailer from Premier Trailer Lease, give us a call today!

 

* Denotes a required field.

Step 1: Applicant Information

Applicant Name *
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Applicant Email *
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Applicant Name *
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Step 2: Company Information

Company Name *
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Website
Please enter company website address
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Contact Phone *
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Contact Email
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Contact Name *
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Physical Address *
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City *
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State *
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
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Zip *
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Main Phone *
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Alternate Billing Address

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Billing Address *
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Billing City *
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Billing State *
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
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Field is required!
Billing Zip *
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Billing Contact Name *
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Billing Contact Email *
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E-Mail Invoices to: *
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Billing Contact Phone *
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PO # Required? *
  • - select a option -
  • Yes
  • No
- select a option -
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Field is required!
Tax Exempt? *
  • - select a option -
  • Yes
  • No
- select a option -
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Field is required!
Tax Exempt Certificate *
Note: A file name can't contain any of the following characters: /:*?<>|+ ' &
Upload Exempt Certificate
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DOT #
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MC #
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Federal ID # *
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Years in Business
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Number of Employees
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Step 3: Insurance Information

Notice: We require a valid current insurance certificate prior to release of any trailers, naming Premier Trailers LLC & ISAA as Additional Insured for Liability and Loss Payee for Physical Damage.
Our Insurance Requirements are as Follows:

1. Minimum of $1 Million Combined Single Limit (CSL) liability coverage. (GL,AL)

2. Physical Damage Coverage - Or you may choose Premier's Loss Damage Waiver program. Click here for more details.

3. Premier Trailer Leasing Inc. must be named as Additional Insured for Liability and Loss Payee for Physical Damage.

4. Certificate Holder Information: Premier Trailers LLC & ISAA


Insurance Company
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Contact Name
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Phone Number
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Step 4: Equipment Specifications

Please select the equipment types you are interested in renting/leasing

Application *
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Fleet Options *
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Vintage Preferred *
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Model *
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Pick Up Date
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Please indicate location from which you are most likely to pick up *
  • - select a option -
  • Allentown, PA
  • Atlanta, GA
  • Baltimore, MD
  • Birmingham, AL
  • Boston, MA
  • Charlotte, NC
  • Chicago, IL
  • Cincinnati, OH
  • Cleveland, OH
  • Columbus, OH
  • Dallas, TX
  • Detroit, MI
  • Fontana, CA
  • Ft. Worth, TX
  • Greenville, SC
  • Houston, TX
  • Indianapolis, IN
  • Kansas City, KS
  • Los Angeles, CA
  • Louisville, KY
  • Mechanicsburg, PA
  • Memphis, TN
  • Milwaukee, WI
  • Nashville, TN
  • New Jersey
  • Orlando, FL
  • Phoenix, AZ
  • Pittsburgh, PA
  • Portland, OR
  • Reno, NV
  • Richmond, VA
  • San Antonio, TX
  • Seattle, WA
  • Stockton, CA
  • Tampa, FL
- select a option -
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Number of Trailers *
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Please specify the number of trailers that you would like to be approved to rent/lease.

Step 5: Additional Information

Additional Information (Optional)
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Additional Documentation

Note: A file name can't contain any of the following characters: /:*?<>|+ ' &
Upload your documents...
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Step 6: Authorization and Acknowledgement

The information provided above is true and complete. Premier may receive from and disclose to other persons, including credit reporting agencies about Applicant and/or Business Owner's account and credit experience, and Applicant and/or Business Owner authorizes any person to release to Premier Trailer Leasing Inc credit experience on Applicant and/or Business Owner made by Premier Trailer Leasing Inc, or any person requested to release such information.


In Consideration of being allowed the privilege of an open credit account, the undersigned, an authorized representative for the above named company applying for credit, hereby agrees and accepts the General Terms and Conditions of Premier Trailer Leasing Inc, including but not limited to Premier Trailer Leasing's payment terms as listed in the General Terms and Conditions.


To view the General Terms and Conditions in a new window click here.
You may also save a copy of the General Terms and Conditions for your records.


In case of default in payments, Premier Trailer Leasing Inc shall be entitled to exercise remedies, in addition to all other rights permitted by law:


• To assess late fees and/or interest
• To submit the debt to a collection agency
• To report the debt to all major credit bureaus
• The Customer agrees to pay all costs of collection, including reasonable attorney's fees


This agreement and electronic acceptance shall be governed by the laws of the State of Texas.

Authorized Representative First & Last Name *
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Title *
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Date
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Click Here to View Terms and Conditions
Customer Agreement
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