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Credit Application

Please fill out the form below to apply for credit. Fields marked with an * are required.

Type of Business



You must carry insurance on rented equipment, please have your agent send us a Certificate of Insurance (Attn: Credit Dept) for Gen. Liability of $1M and physical damage/Equipment coverage of $100,000.00. Please list JGR Equipment Rental & Sales, LLC as additional insured/loss payee on the certificate.



TRADE REFERENCES—SUPPLIERS (excluding all equipment rental companies) please provide email addresses!


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