New Accounts St.Robert, MO CALL NOW Pacific, MOCALL NOW Rolla, MOCALL NOW Springfield, MO CALL NOW St. Louis, MO CALL NOW Punta Gorda, FL CALL NOW New Accounts X/TwitterThis 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. St. Louis, MO 314-252-2474 3900 Lemay Ferry Rd.St. Louis, MO 63125 Pacific, MO (636) 273-6300 18515 Route 66Pacific, MO 63069 Rolla, MO (573) 308-7120 10925 Old Highway 66Rolla, MO 65401 St. Robert, MO (573) 528-5559 763 Missouri Ave,St. Robert, MO 65584 Springfield, MO (417) 343-0606 3600 W Waddill St,Springfield MO 65802 Punta Gorda, FL (941) 916-7244 16070 Tamiami Trl.Punta Gorda, FL 33955
