Hawk Equipment Services – Customer Acquisition Form Hawk Equipment Services 7955 46th Ave S, Seattle, WA 98118 Phone: 503-542-7600 | Email: AR@hawkequip.com https://hawkequip.com Customer Acquisition Form Customer Information Name of Company * This field is required Phone * Enter a 10-digit US phone number Company Address – Street * Company Address – City * Company Address – State * Company Address – ZIP * Billing Address Same as Company? YesNo Billing Address – Street Billing Address – City Billing Address – State Billing Address – ZIP Mailing/Shipping Address Same as Company? YesNo Mailing/Shipping Address – Street Mailing/Shipping Address – City Mailing/Shipping Address – State Mailing/Shipping Address – ZIP Email Address * Enter a valid email address Type of Business * Select…AerospaceElectrical ContractorHVAC ContractorControls ContractorGeneral ContractorEngineeringSemiconductorHealthcareManufacturingUniversityProperty ManagementParking ManagementChemical ProcessingEnergyMunicipalityPublic WorksOther Owner’s Name(s) * In Business Since * Enter a valid year (YYYY) Business Structure * Select…PartnershipCorporationOther Federal I.D.# DUNS Number DUNS Score (within past 90 days) Annual Revenue ($)* Enter a valid dollar amount Projected Monthly Spend with Hawk ($)* Enter a valid dollar amount Accounts Payable Contact Name * Email * Invoicing Email * Phone Number * Purchase Order Required Contract Required Portal Enrollment Required Portal Website Portal Fees Charged Reseller or Exemption Certificate Will you provide a certificate? NoYes (email to AR@hawkequip.com) Insurance Special Insurance Requirements Bank References Bank Name * Account Type * Select…CheckingSavingsLoan Account Number Phone * Credit References Reference 1 Name * Reference 1 Phone * Reference 1 Email * Reference 2 Name * Reference 2 Phone * Reference 2 Email * Reference 3 Name * Reference 3 Phone * Reference 3 Email * Terms and Authorization Terms: The above information is for the purpose of obtaining credit and is warranted to be true. We authorize Hawk Equipment Services to investigate the references listed pertaining to our credit and financial responsibility. In the event of default, we agree to cover all collection costs, court costs, reasonable attorney’s fees, and interest at the maximum rate allowed by law. Company Name * Authorized By * Title * Signature (Type Full Name) * Date * Enter a valid date (MM/DD/YYYY) Submit Form
