Open Parts & Service Account

Due to New Hampshire State Law, a digital signature is not valid. A handwritten signature must be used for this form.

Please fill out our online parts and service credit application, print it and provide the signature of an authorized representative of your company.

After printing this form, please provide authorized signatures, titles and dates in the spaces provided below, then either fax it to 603-622-9126 or mail to: McDevitt Trucks Inc. Attn: Accounts Receivable Dept., POB 4640, Manchester, NH 03108.

Or you can complete the Printable Application (PDF) and send it in to McDevitt Trucks.

We will be happy to set up your account.

Company Name:*
Tax ID #:*
Physical Address:
Billing Address:*
Contact:*
City:*		State:*
ZIP:*

Years In Business:
Phone:*
Fax:
E-mail Address:*
Bank:*
ACCT#:*
Officer:
Phone:
Website:

Owner Information: Must be completed for all partnerships, sole proprietorships and corporations in business for less than one year.

Owner's Full Name:
Social Security #:
Owner's Address:
City:		State:*
ZIP:

Partner's Full Name:
Partner's SS#:
Partner's Address:
City:		State:*
ZIP:

Purchase Order Required:*	Yes No
Tax Exempt:*	Yes No
Tax Exempt #:
Credit Line Amount Requested:

Trade References:

1.	Name:*
	Address:*
	Phone:*
	Fax:*

2.	Name:*
	Address:*
	Phone:*
	Fax:*

3.	Name:*
	Address:*
	Phone:*
	Fax:*

*required field