To ensure prompt attention to your credit application, please be sure to complete all fields. 

Business Structure

Business References: Other business from whom purchases have been made or services rendered on an open account basis.

Applicant’s signature attests financial responsibility, ability and willingness to pay Interstate Fleet Services’ invoices within 30 days. The above information is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize Interstate Fleet Services to investigate the references listed pertaining to my/our credit and financial responsibility.