New Accounts Sioux City, IA CALL NOW Sioux Falls, SD CALL NOW LeMars, IACALL NOW Cherokee, IA CALL NOW Yankton, SDCALL NOW Vermillion, SD CALL NOW New Accounts CompanyThis field is for validation purposes and should be left unchanged.COMPANYCompany Name(Required)Physical Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneFaxPRIMARY CONTACTName(Required)Job TitleEmail PhoneACCOUNTS PAYABLE CONTACTName(Required)Job TitleEmail PhoneBILLING INFORMATIONStatement Preference USPS Mail E-mail Does your company use a PO system? Yes No Email Address for Statement Payment Preferences Check Credit Card EFT ACH Other Fleet InformationHow many vehicles/trailers do you have in your fleet?What is the vendor code we need to give to TowBook for e-dispatching?Does your company use digital dispatch through TowBook? Yes No Service PreferencesType of Service RequestedType of Service RequestedTowingRoadside AssistancePrivate PropertyStorageDumpster RentalsTransportExcavationDemolitionHow did you hear about us?Account Details (if any were discussed)Consent By selecting this box you agree with the terms and conditions listed below and that you have answered all the questions above to the best of your knowledge and that Stockton Towing will use this information to process your credit application.Printed Name All invoices are due on the 15th day of the month unless previous arrangements have been made. A late fee of 15% will be assessed after the 1st day of the following month. After 60 days services will be suspended. After 90 days the account will be placed for collections and reported to all credit bureaus including Trans Union, TRW, and Equifax. Additional fees for collections will be added to the account. All invoices and statements already include a 3.5% discount for payment in cash or check. However, if you wish to pay by credit card, this can be arranged but the discounted rate does not apply, and the statement will need to be adjusted to reflect the non-discounted price. Stockton Towing shall not be liable for loss, damage, or delay caused by acts of God, terrorism, public authorities, strikes, labor disputes, weather, mechanical failures, customs delay or omission, quarantine, or civil commotions. Stockton Towing shall not be liable in any event for any special, incidental or consequential damages; including but not limited to loss of profits or loss of income, whether or not Stockton Towing has knowledge that such damage might be incurred. </noscript><iframe class="lazy" style='display:none;width:0px;height:0px;' src="" data-src='about:blank' name='gform_ajax_frame_3' id='gform_ajax_frame_3' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'> 1203 Lewis Blvd Sioux City, IA 51105 712-259-2434 30442 Hwy 3 LeMars, IA 51031 712-259-2434 901 E Amidon St Sioux Falls, SD 57104 Unit 4 605-660-9423 915 SD-50 Yankton, SD 57078 605-660-9423 5290 S Ave #1 Cherokee, IA 51012 712-259-2434 900 N Norbeck St Vermillion, SD 57069 605-660-9423
