New Accounts PhoneThis 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 Big Boy's Towing & Recovery 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 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. Big Boy's Towing & Recovery 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. Big Boy's Towing & Recovery 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 Big Boy's Towing & Recovery has knowledge that such damage might be incurred. CONTACT US Big Boy’s Towing 18515 Historic Rte 66Pacific, MO 63069 636-273-6300 3900 Lemay Ferry RdSt. Louis, MO 63125 314-252-2474 10925 Old Route 66Rolla, MO 65401 573-308-7120 763 Missouri AveSt. Robert, MO 65584 573-528-5559 3600 W Waddill StSpringfield, MO 65802 417-343-0606 Chuck’s Wrecker Service 1480 East Springfield RdSullivan, MO 63080 573-468-8070 904 State Hwy PCuba, MO 65453 573-259-1748 Sturm’s Countywide Towing 369 WW Industrial ParkWashington, MO 63090 636-239-3636 1356 Hwy ATVilla Ridge, MO 63089 636-239-3636 Big Boy’s Truck Wash 3500 Enterprise Dr.Rolla, MO 65401 573-567-7600 Big Boy's Dumpster Rentals 3600 W Wadill StSpringfield MO 65802 417-233-1400 10925 Old Highway 66Rolla MO 65401 573-202-6896
