CORPORATE INFORMATION


    (if different from above)








    OWNER(S) | PARTNER(S) | OFFICER(S)












    ACCOUNTS PAYABLE CONTACT





    BANK REFERENCE







    TRADE REFERENCES (FUEL & TIRE COMPANIES NOT ACCEPTED)



















    DOCUMENTS REQUIRED FOR TRAILER RENTAL:
    1) CVOR


    2) PROOF OF INSURANCE
    MUST SHOW 3rd PARTY LIABILITY @ $2M* with Breadner named.


    THE ABOVE DOCUMENTS MUST BE RECEIVED PRIOR TO TRAILER PICK-UP.

    The undersigned consents to the obtaining of such information as R&S TRAILER LEASING LIMITED may require at any time in connection with the credit hereby applied for, any renewal thereof and to the disclosure of any information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or proposes to have financial relations.