EP Rents

Finance Application

Complete the form below to apply for a rental credit account. All fields marked with an asterisk are required.

Business Information

Legal name and entity details for your organization.

Legal Business Name*

DBA (if applicable)

Business Type*

Years in Business

Federal Tax ID / EIN*

Primary Contact

The person responsible for this account.

Full Name*

Title / Position

Phone Number*

Email Address*

Business Address

Street Address*

City*

State*

ZIP Code*

Billing address is the same as business address

Equipment & Rental Details

Tell us what you need and which EPG location you'll be working with.

EPG Location*

Rental Duration

Estimated Start Date

Equipment Needed

Bank Reference

Provide your primary banking institution for credit verification.

Bank Name

Contact Name

Phone Number

Account Type

Trade References

Provide two trade references who can verify your payment history.

Reference 1

Company Name

Contact Name

Phone Number

Account Number

Reference 2

Company Name

Contact Name

Phone Number

Account Number

Additional Notes

Anything else you'd like us to know about your application.

By submitting this application, I certify that the information provided is accurate and complete to the best of my knowledge. I authorize Environmental Products Group to verify the information provided, including contacting the bank and trade references listed above. I understand that approval of credit is at the sole discretion of EPG.

I agree to the terms above and certify the information is accurate.