EmailMe Form - New Customer Account Form

Which company is this account for? *

Avon Rents (2x0xxx)

Hollywood Depot Rentals (2x9xxx)

Versatile Studios (2x1xxx)

Production Legal Name *

DBA/Show Name

Transpo Contact Name *

First Last

Transpo Email *

Transpo Phone # *

### - ### - ####

Insurance/Coverage *

LDW

RLI

COI (Upload Below)

Company Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Name of Employee Requesting *

Email of Employee *

Accounting

Billing Info

Accounting Contact Name

First Last

Accounting Contact Phone

### - ### - ####

Accounting Contact Email

Terms

Po Required?

Yes

No

Rates

Hiatus Days

Billing Days

Parking Rate

Avon Vehicle Parking Rate

Non-Avon Vehicle Parking Rate

Delivery & Collection Rate

Custom Delivery & Collection Rate

Fuel Charge

Custom $ per Gallon

Additonal Fees / Options

Insurances/Other Documents

VLF

Yes

No

Service Fee

Yes

No

LDW

Yes

No

RLI

Yes

No

Certificate of Insurance (COI)

Credit One Sheet

MISC Documents