New Accounts Pacific, MOCALL NOW Rolla, MOCALL NOW St. Louis, MO CALL NOW Springfield, MO CALL NOW St.Robert, MO CALL NOW New Accounts COMPANYCompany Name(Required)Address Street Address Address Line 2 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 PhonePRIMARY CONTACTName(Required)Job TitleDepartmentEmail PhoneACCOUNTS PAYABLE CONTACTName(Required)Job TitleDepartmentEmail PhoneBILLING INFORMATIONStatement Preference USPS Mail E-mail Does your company use a PO system? Yes No Email Address for Statement: Printed Name Date MM slash DD slash YYYY Signature(Required)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.All invoices are to be paid within 30 days from date of monthly statement unless previous arrangements have been made. A late fee of 15% will be assessed after 30 days. 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% 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.NameThis field is for validation purposes and should be left unchanged. St. Louis, MO 314-252-2474 3900 Lemay Ferry Rd. St. Louis, MO 63125 Pacific, MO (636) 273-6300 18515 Route 66 Pacific, MO 63069 Rolla, MO (573) 308-7120 10925 Old Highway 66 Rolla, MO 65401 Springfield, MO (417) 343-0606 3600 W Waddill St, Springfield MO 65802 Robert, MO (573) 528-5559 763 Missouri Ave, St. Robert, MO 65584
