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Locations
Illinois
North Chicago
Indiana
Anderson
Edinburgh
Fort Wayne
Fremont
Indianapolis
Indy– Trailer Repair
Lafayette
Lafayette– Trailer Repair
Iowa
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Michigan
Traverse City
Wayne– Trailer Repair
Ohio
Dayton
Lima
Wapakoneta
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Appleton
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North Chicago, IL: 847-453-5100
Indianapolis – Stoops: 317-788-1533
Anderson – Stoops: 765-644-1400
Edinburgh – Stoops: 812-703-9436
Fremont – Stoops: 260-495-2005
Fort Wayne – Stoops: 260-749-8587
Lafayette – Stoops: 765-446-0007
Lafayette Trailer Repair – Stoops: 765-477-2278
Cedar Rapids: 319-365-0531
Davenport: 937-236-4092
Decorah: 419-738-9684
Dubuque: 563-556-3773
Dyersville: 563-845-5094
Lima – Stoops: 419-228-4334
Dayton – Stoops: 937-236-4092
Wapakoneta – Stoops: 419-738-9684
Appleton: 920-766-5222
Madison/De Forest: 608-249-1090
Marinette: 715-735-7020
Milwaukee: 414-761-3384
North Milwaukee: 414-365-1253
Minocqua: 715-358-5200
Sheboygan: 920-395-9300
Shullsburg: 608-965-4462
Wausau / Rothschild: 715-359-9989
North Chicago, IL: 847-453-5100
Indianapolis – Stoops: 317-788-1533
Anderson – Stoops: 765-644-1400
Edinburgh – Stoops: 812-703-9436
Fremont – Stoops: 260-495-2005
Fort Wayne – Stoops: 260-749-8587
Lafayette – Stoops: 765-446-0007
Lafayette Trailer Repair – Stoops: 765-477-2278
Cedar Rapids: 319-365-0531
Davenport: 937-236-4092
Decorah: 419-738-9684
Dubuque: 563-556-3773
Dyersville: 563-845-5094
Lima – Stoops: 419-228-4334
Dayton – Stoops: 937-236-4092
Wapakoneta – Stoops: 419-738-9684
Appleton: 920-766-5222
Madison/De Forest: 608-249-1090
Marinette: 715-735-7020
Milwaukee: 414-761-3384
North Milwaukee: 414-365-1253
Minocqua: 715-358-5200
Sheboygan: 920-395-9300
Shullsburg: 608-965-4462
Wausau / Rothschild: 715-359-9989
North Chicago
Indianapolis – Stoops
Anderson – Stoops
Edinburgh – Stoops
Fremont – Stoops
Fort Wayne – Stoops
Lafayette – Stoops
Lafayette Trailer Repair – Stoops
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Lima – Stoops
Dayton – Stoops
Wapakoneta – Stoops
Appleton
Madison/De Forest
Marinette
Milwaukee
North Milwaukee
Minocqua
Sheboygan
Shullsburg
Wausau / Rothschild
North Chicago
Indianapolis – Stoops
Anderson – Stoops
Edinburgh – Stoops
Fremont – Stoops
Fort Wayne – Stoops
Lafayette – Stoops
Lafayette Trailer Repair – Stoops
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Lima – Stoops
Dayton – Stoops
Wapakoneta – Stoops
Appleton
Madison/De Forest
Marinette
Milwaukee
North Milwaukee
Minocqua
Sheboygan
Shullsburg
Wausau / Rothschild
Profile
Saved Trucks
Saved Trailers
Saved Parts
Exclusive posts
Saved Trailer Showroom
Saved Truck Showroom
Trucks
Showrooms
Freightliner
Western Star
Autocar
Wabash
New Inventory
Freightliner
Western Star
Autocar
Used Inventory
Electric Trucks
Build Your Cascadia
Fifth Generation Cascadia
Spotter Trucks
Used Semi-Truck Warranty
Semi-Truck Financing
Trailers
Trailer Locations
Indy – Trailer Repair
Lafayette – Trailer Repair
Wayne – Trailer
Trailer Services
Trailer Parts
New Inventory
Used Inventory
Trailer Financing
Body Shops
Indianapolis
Lima
Shullsburg
Parts
Specials
Excelerator Parts
Parts Credit App
Trailer Parts
Parts Request
Tax Exempt Form
Invoice Statement Form
Services
Specials
Body Shop Services
Trailer Services
Elite Support
Schedule Service
Service Credit App
Invoice Statement Form
Locations
Illinois
North Chicago
Indiana
Anderson
Edinburgh
Fort Wayne
Fremont
Indianapolis
Indy– Trailer Repair
Lafayette
Lafayette– Trailer Repair
Iowa
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Michigan
Traverse City
Wayne– Trailer Repair
Ohio
Dayton
Lima
Wapakoneta
Wisconsin
Appleton
Madison
Marinette
Milwaukee
Minocqua
North Milwaukee
Sheboygan
Shullsburg
Wausau / Rothschild
Careers
Diesel Technicians
Current Openings
General Application
Training
Stoops Training
Truck Country Training
About
History
Sister Companies
Contact Us
Podcast
Safety Training
News
Trucks
Showrooms
Freightliner
Western Star
Autocar
Wabash
New Inventory
Freightliner
Western Star
Autocar
Used Inventory
Electric Trucks
Build Your Cascadia
Fifth Generation Cascadia
Spotter Trucks
Used Semi-Truck Warranty
Semi-Truck Financing
Trailers
Trailer Locations
Indy – Trailer Repair
Lafayette – Trailer Repair
Wayne – Trailer
Trailer Services
Trailer Parts
New Inventory
Used Inventory
Trailer Financing
Body Shops
Indianapolis
Lima
Shullsburg
Parts
Specials
Excelerator Parts
Parts Credit App
Trailer Parts
Parts Request
Tax Exempt Form
Invoice Statement Form
Services
Specials
Body Shop Services
Trailer Services
Elite Support
Schedule Service
Service Credit App
Invoice Statement Form
Locations
Illinois
North Chicago
Indiana
Anderson
Edinburgh
Fort Wayne
Fremont
Indianapolis
Indy– Trailer Repair
Lafayette
Lafayette– Trailer Repair
Iowa
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Michigan
Traverse City
Wayne– Trailer Repair
Ohio
Dayton
Lima
Wapakoneta
Wisconsin
Appleton
Madison
Marinette
Milwaukee
Minocqua
North Milwaukee
Sheboygan
Shullsburg
Wausau / Rothschild
Careers
Diesel Technicians
Current Openings
General Application
Training
Stoops Training
Truck Country Training
About
History
Sister Companies
Contact Us
Podcast
Safety Training
News
Service Credit Application
Step
1
of
3
33%
Company or Individual Name
(Required)
Billing/Mailing Address
(Required)
City
(Required)
State
(Required)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
(Required)
Shipping Address
(Required)
Shipping Address - Same as Billing Address
(Required)
Yes
No
City
(Required)
State
(Required)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
(Required)
Business Phone
(Required)
Ext.
Fax
Cell Phone
Yrs. in Business
Trucks in Fleet
Federal Employer ID No./FEIN #
(Required)
No. of Employees
Business Email
Business Type
(Required)
C Corp
S Corp
LLC
Partnership
Proprietor
Government Entity
If your business is classified under C Corp, please complete.
Publicly Traded
Private Company
If Publicly Traded, state your stock ticker.
(Required)
Domicile of Lease/Rental Truck–City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Accts Payable Contact Name
(Required)
A/P Phone
(Required)
A/P Fax
Accts Payable E-Mail
(Required)
Requested Line of Credit
Are you leased out?
Yes
No
If yes, to whom?
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Flordia
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
What Division of Truck Country and Stoops Freightliner will you primarily be doing business with?
(Required)
Truck Country of Iowa
Truck Country of Illinois
Truck Country of Wisconsin
Truck Country of Indiana - dba Stoops Freightliner
Truck Country of Michigan - dba Stoops Freightliner
Truck Country of Ohio - dba Stoops Freightliner
What Truck Country location will you primarily be doing business with?
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
What Truck Country location will you primarily be doing business with?
North Chicago
What Truck Country location will you primarily be doing business with?
Appleton
Madison/De Forest
Marinette
Milwaukee
North Milwaukee
Minocqua
Sheboygan
Shullsburg
Wausau/Rothschild
What Truck Country location will you primarily be doing business with?
Indianapolis
Anderson
Edinburgh
Fremont
Fort Wayne
Lafayette
What Truck Country location will you primarily be doing business with?
Traverse City
Wayne
What Truck Country location will you primarily be doing business with?
Lima
Dayton
Wapakoneta
Owners, Partners or Officers
1. Name
S.S. No
Title
Address, City, State, Zip
2. Name
S.S. No
Title
Address, City, State, Zip
3. Name
S.S. No
Title
Address, City, State, Zip
Tax Exempt
Are you tax exempt?
(Required)
Yes
No
If you are tax exempt, please select the state(s) you are exempt from.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
REQUIRED: Please complete the appropriate tax exemption certificate and send with this application if you are tax exempt. If the tax exemption certificate(s) are not provided then you agree that taxes will be charged and will be your responsibility to pay.
Max. file size: 30 MB.
Do you require purchase order numbers on your invoices?
Yes
No
Credit References - Please Provide Two Bank References (Confidential)
1. Bank Name
Checking
Savings
Loan
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
Account No
Contact
2. Bank Name
Checking
Savings
Loan
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
Account No
Contact
Truck Payment (if applicable) made to
Bank/Finance Company
Street Address
City
State
Zip
Phone
Account No
Contact
Major Trade References
1. Name
City/State
Fax
Phone
2. Name
City/State
Fax
Phone
3. Name
City/State
Fax
Phone
Print Name
Customer Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
The above signee has permission to sign on behalf of the applicant and the applicant is fully aware they are authorizing that their personal credit report may be accessed.
(Required)
I agree
The above signee has permission to sign on behalf of the applicant and the applicant is fully aware they are authorizing that their personal credit report may be accessed.
Disclaimer Information
(Required)
I agree
The above signed hereby authorizes Truck Country to fully investigate all credit information available on applicant, and set reasonable credit limits on their account, if established. The above signed agrees to the following terms: Statements are rendered the 1st of the month and they are due by the 10th of the month. If we have not received payment by the 20th of the following month, the account will be classified as delinquent, and it will be placed on a credit hold status. Accounts past 30 days will be assessed a finance charge of 1.5% per month (18% APR). All collection and/or attorney fees will be added to account balance. If customer is tax exempt and does not provide the appropriate tax exempt certificates, then customer will be responsible for all taxes on invoices until the appropriate signed and dated tax exempt certificate is provided to Truck Country. All invoices and statements will be emailed to the Accts-Payable contact provided. If customer would like to opt of receiving invoices and statements through email they need to send the request to the Truck Country AR team at arcredit@truckcountry.com to opt out.
The above signed understands that Truck Country and/or its assignees will not process a credit order until after Truck Country or such assignees have conducted a credit investigation and determined, in its or their sole discretion, to approve the extension of credit to the above signed. By submitting this Credit Application, the above signed hereby authorizes a full and complete investigation by Truck Country and its assignees into the above signed’s credit history. The above signed further authorizes Truck Country and its assignees to conduct an investigation into the credit history of the above signed’s proprietors, partners, shareholders, members and/or principals as Truck Country and/or its assignees see fit in its or their sole discretion. The above signed hereby grants permission to all of the above credit references and further authorizes the use of this document (or a facsimile thereof) as consent for the release to Truck Country and its assignees of credit information by credit reporting agencies, credit bureaus, and the credit, banking and trade references supplied to Truck Country and its assignees by the above signed. Truck Country and its assignee shall be further authorized to conduct periodic credit checks and reviews of the credit history of the above signed and its proprietors, partners, shareholders, members and/or principals in order to continue the extension of credit to the above signed.
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