test
MAG Trucks
If you prefer to complete our application manually, please download the appropriate credit application using one of the links below
Standard Credit Application PDF FedEx Contractor/ISP Credit Application PDF


APPLICATION

 * Denotes REQUIRED field!
Company*
 EIN*
Billing Address*
City*
 County*
 State*
 Zip*
Telephone No.*
Alt Phone No.*
Contact person*
Title*
Nature of Business*
 Email Address *
State Business Registered or Incorp.*
 EQUIPMENT LOCATION (complete only if different from billing address)
Address
City
 County
 State
 Zip
 REQUESTED SCHEDULE OF PAYMENTS
Term of Lease (in mos.)
Payment Factor
Amount of Each Payment
Purchase Option
Advance Payments
 CONTRACTOR/ISP INFORMATION (if applicable)
Terminal Address
Contact Name
Telephone Number
E-Mail
Contactor/ISP Type: Ground     Home Delivery      Custom Critical      Other     
Are you an existing FedEx contractor/ISP? Yes | No For How Long? Contractor ID #
(If existing contractor/ISP then ALL fields in this section are Required!) # of PSA's? # of Supplemental?
 INFORMATION ON OWNER(S)/GUARANTORS
(1)Name*
 Married*
Yes   No		 Title*
 % of Business*
 Social Security Number*
Home Address*
City*
 State*
 Zip*
 Home Phone Number*
(2)Name
 Married
Yes   No		 Title
 % of Business
Social Security Number
Home Address
City
 State
 Zip
 Home Phone Number
(3)Name
 Married
Yes   No		 Title
 % of Business
Social Security Number
Home Address
City
 State
 Zip
 Home Phone Number
 COMPANY BANK REFERENCE - TWO YEAR HISTORY
Name of Bank
How Long
Chkg. Acct #
Telephone Number
Contact Officer
 CURRENT LOANS OR LEASES - TWO YEAR HISTORY
Name
 City/State
 Telephone Number
Contact Person
Name
 City/State
 Telephone Number
Contact Person
 
The undersigned recognizes that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents and authorizes us, or our designees, the use of a consumer credit report on the undersigned signature, from time to time as may be needed, as well as the release of any and all information requested for the purpose of granting business credit. A photo copy will act as an original.

I certify that the above information is true and correct to the best of my knowledge and hereby give permission to perfom credit checks:

Signature:* Date:*

I agree that by checking this box that my name having been entered above shall constitute my Digital Signature.*
 
CREDIT DENIAL INFORMATION


HOME    INVENTORY    PARTS    DISCLAIMER    FINANCE    ONLINE APP     CONTACT US    SITEMAP

MAG Trucks • 105 S. Jefferson St., Suite C-3 • (800)-805-6818 ext 1
Kearney, MO 64060 		Commercial Equipment Dealer Websites
Powered By: e Dealer Design