Credit Application

If you are interested in renting from Acme Lift, you will need to fill out a credit application and meet our insurance requirements. Please contact Kris Kirby with any questions at (602) 648-7246 or

If you would like to apply for credit you have two options:

  • Print Credit Application
  • You can also use the following online credit application which will be immediately sent to the appropriate department.
Company Information
Name:
Physical Address:
City:
State:
Zip:
Phone Number:
Fax Number:
Principal/Owner:
Type of Ownership:
Years in Business:
Billing Address:
City:
State:
Zip:
Accounts Payable Contact:
Service Contact:
Rental Contact:
P.O. Required? Yes     No
Bank Information
Bank Name:
Phone:
Account #:
Contact Person:
Address:
City:
State:
Zip:
Reference Information
Company:
Contact:
Address:
City:
State:
Zip:
Phone:
Fax:
Company:
Contact:
Address:
City:
State:
Zip:
Phone:
Fax:
Company:
Contact:
Address:
City:
State:
Zip:
Phone:
Fax:
Please enter security code: