The Auto Barn, Inc. Billing Application

The Auto Barn, Inc. Billing Application
Date*
Company*
Physical Address
Phone*
Fax
Billing Address
A/P Contact
A/P Phone
A/P Fax
Fed Tax ID #*
Does your company require P/O #'s ?*	Yes No
Do you need monthly statements*	Yes No
Please check all vehicle(s) that are associated with your business	Box Straight Truck Dump Truck Tractors School Buses Tour Buses Tractor / Trailer Equipment Tanker Oil Trucks Straight Truck Cement Mixer RV's Pickups Vans