☰ CREDIT APPLICATION & AGREEMENT Apply online for a BGES Credit Account to expedite your equipment rental process and keep your projects running smoothly. You can also complete the Application Form and email a completed version to bgcredit@brasfieldgorrie.com for processing. STEP 1 OF 5 20% COMPANY INFORMATION DUNS Number* BGES Sales Representative* Barton, Keith Beckum, Joey Bradford, Lee Bradford, Mark Childers, Jamie Helms, Blake Koenig, Luke Lehman, Candace Morgan, Bill Norris, Ben Schulten, Jenna Slaydon, Corey I don't know Company Name* Person Requesting B&G Credit* Phone* Fax* Year Established* County* Physical Address* Street Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia 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 Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Is your billing address different from your physical address?* Yes No Accounts Payable Contact Name* Phone* Email* Please send my invoices electronically to the email provided PO Required* Yes No Tax Exempt - If Yes, Include the Tax Exemption Certificate* Yes No Ownership* Corporation Partnership Proprietorship LLC PRIMARY OFFICERS Name* Title* Phone* Address* Street Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia 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 Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Is there an additional primary officer?* Yes No CALL NOW! 877.746.7241 © Copyright 2021 - Brasfield & Gorrie Equipment And Supply We use technologies, such as cookies, to customize content and advertising and to analyze traffic to the site. We also share information about your use of our site with our trusted web partners. By clicking the "I agree" button, you consent to all cookies. If you do not agree, please click the "Deny All Cookies" button to prohibit the use of cookies in this browser session. Read More Accept Reject