Credit Application
for Valley Truck Leasing.

Credit Application

Please fill out the form below and do not navigate away from the page or the fields will be reset.

  • Accepted file types: jpg, gif, png, pdf, doc, docx.
  • Accounts Payable Information

  • We can email invoices. If that is your prefered method of receiving invoices, please complete below:
  • Person to receive email when unit is due for maintenance or oil change.
  • Person to receive email invoices for lease and/or rental unit(s).
  • Person to receive invoices for service work.
  • Trade References

  • Reference #1:

  • Reference #2:

  • Reference #3:

  • Reference #4:

  • Bank:

  • Payment Requirement for Lease & Rental:

    This application is made with the understanding that the total amount charged to my account is payable upon receipt of invoice or statement. If the account balance is past due by 2 weeks, Valley Truck Leasing, Inc. will request the unit(s) returned to our location. A monthly finance charge of 1% (12% annually) or $15, whichever is greater, will apply to all past due amounts, and be added to the outstanding balance. Valley Truck Leasing, Inc. has the right to limit the amount of credit extended. I hereby authorize Valley Truck Leasing, Inc. to obtain the necessary credit information to substantiate this application. All information will be handled in a confidential manner.

    Payment Requirement for Maintenance:

    This application is made with the understanding and agreement that the total amount charged to my account is payable upon receipt of invoice or statement. If the account balance is past due by 2 weeks, Valley Truck Leasing, Inc. will suspend the account. A monthly finance charge of 1% (12% annually) or $15, whichever is greater, will apply to all past due amounts, and be added to the outstanding balance. Valley Truck Leasing, Inc. has the right to limit the amount of credit extended. I hereby authorize Valley Truck Leasing, Inc. to obtain the necessary credit information to substantiate this application. All information will be handled in a confidential manner.

  • By selecting the “Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting “ Submit" you consent to be legally bound by this Agreement's terms and conditions.

    * Required Fields.