COMPANY INFORMATION COMPANY: ADDRESS: ADDRESS: CITY: STATE: ZIP: E-MAIL: TELEPHONE: FAX: STRUCTURE: Sole Proprietor Partnership Corporation Select One INDUSTRY: NO. OF YRS IN OPERATION: FEDERAL ID#: P.O. REQUIRED?: yes no MD. TAX EXEMPT: yes no If yes, a copy of your exempt certificate must be sent to Alliance Material Handling, Inc.   PARENT COMPANY INFORMATION PARENT COMPANY: ADDRESS: ADDRESS: CITY: STATE: ZIP: TELEPHONE: FAX: MAIL TO: PARENT CO. THIS LOCATION   CREDIT INFORMATION NAME OF BANK: BRANCH: TELEPHONE: ACCOUNT NUMBER: REFERENCE #1: ADDRESS: TELEPHONE: ACCOUNT NUMBER: REFERENCE #2: ADDRESS: TELEPHONE: ACCOUNT NUMBER: REFERENCE #3: ADDRESS: TELEPHONE: ACCOUNT NUMBER:   Alliance Material Handling, Inc. payment terms are net 10 days. Accounts 60 days past due are subject to a monthly service fee of 1%. Applicant is responsible for all collection, attorney and court fees that may be incurred, as the result of account being placed for collections. Check below if the authorized agent agrees to the above terms.   I authorize the above creditors to release all information needed to this vendor for credit approval. AUTHORIZED AGENT TITLE DATE Alliance Material Handling supplies all types of material handling equipment including forklifts, lift trucks, pallet jacks, dock equipment such as dock levelers, steel mezzanine rack systems, dock boards and dock plates, pallet racking, industrial doors, forklift tires, modular offices, and personnel carriers; and serve the Maryland (MD), Virginia (VA), DC and West Virginia (WV) region.