Company Name *
Year Established
2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909
What type of account do you wish to set up? *
Credit Card/COD Net 10 (Requires Open Account Application) Download Open Account Application Net 30 (Requires Open Account Application) Download Open Account Application
Are you non-taxable? *
No, I am taxable Yes, I have a resale Certificate Yes, I am tax exempt for another reason
Upload Tax Certificate:
NOTE: If you can not upload your certificate, please fax a copy to 919-828-0505. Thanks!
Primary Contact *
E-mail *
Fax
Bill To Address *
City *
State *
AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code *
Physical Address *
City *
State
AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code *
How did you find us?
Google Referral Other
Thank you for your interest in Sirtage, Inc. Rentals. Upon review of
your application, you will receive confirmation of your new account and
you can begin to rent professional audio/visual equipment! If you chose
either Net10 or Net30 account terms, you may need to fill out
additional open account paperwork before you account is activated. You
may also be required to submit financial statements or bank and trade
references. One of our account representatives will contact you if this
is what you have chosen. Please now review our rental terms and
agreements below. You can download a copy to keep for your records by
following the links. Thanks again - we look forward to working with
you!