Machines In Stock Orders Ship Within 2 – 3 Days Step 1 of 7 – Order Form 14% Date(Required) MM slash DD slash YYYY Customer Information/Ship To AddressCompany Name(Required) Your Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Address(Required) City(Required) State / Canadian Province(Required)AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonZip/Postal Code(Required) Payment Option(Required)Select a Payment Option and click Next Credit Card Bank Transfer RAVAmerica Financing Credit Card Purchase (we will contact you with total amount due with taxes, shipping, & Credit Card information)Bank Transfer Purchase (we will contact you with total amount due with taxes, shipping, & Banking information)Equipment SelectionCar Alignment, Balancers & Tire ChangersTD2.0 SmartAlignersSelect an OptionPremium Package $19,995Deluxe Package $17,995Select Package $14,995TD3200HP-Power Vision 3D Quantity Price: $26,950.00 Quantity Car BalancersSelect an OptionG3.150SA Select $5,995.00G3.150SA Deluxe $7,995.00G3.150SA Premium $9,995.00G2.140R $4,995.00Car Tire ChangersSelect an OptionG7240.22 Standard SwingArm With Plus 91N Help $4695.00G7246.26 SpeedChanger With Plus 91SA Help $5,995.00G7645.26 Tilt Pro Automatic Tilt Back With Plus 83 Help $7,995.00G8945.26 Memory Leverless With Help And Lift $14,995.00Car/Automotive CombosSelect Combo PackageAuto 1 ComboAuto 2 ComboAuto 3 ComboAuto 4 ComboAuto 5 ComboAuto 6 ComboAuto 7 ComboTruck Alignment, Balancers, Tire Changers & AccessoriesExpress QuantityCabinet Model Price: $33,950.00 Quantity Spirit QuantityMobile Trolley for greater portability. Price: $33,950.00 Quantity Sprint MobileSelect an OptionSprint Mobile 1 $31,950.00Sprint Mobile 2 $37,950.00Combo Truck/Car AlignerSelect an OptionRAV 1 Truck Alignment Shim Package QuantityEnhanced tandem shim assortment plus a starter set of caster wedges. Price: $995.00 Quantity HD Alignment Tool Package Quantity Price: $2,995.00 Quantity Truck BalancersSelect an OptionGTL4.140RC $13,950.00Truck Tire ChangersSelect an OptionGTB-16EVO $24,995GRS-926 SCOUT $12,995Truck Combo PackagesSelect Combo PackageHD 1 ComboHD 2 ComboHD 3 ComboHD 4 ComboHD 5 ComboOrder Total (Does not Include sales tax and shipping, they will calculated and added to total before processing payment) Orders ship within 2-3 days Equipment Financing Application (we will contact you with total amount due with taxes, & shipping)Business InformationBusiness Legal Name DBA Business TypeLLCCorporationSole ProprietorshipLimited ProprietorshipLimited Liability ProprietorshipFederal Tax ID Years in BusinessLess than 6 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years7 + YearsAnnual RevenueLess than $75,000$75,000 – $100,000$100,000 – $150,000$150,000 – $200,000$200,000 – $250,000$250,000 – $300,000$300,000 – $350,000$350,000 – $400,000$400,000 – $450,000$450,000 – $500,000$500,000 – $550,000$550,000 – $600,000$600,000 – $650,000$650,000 – $700,000$700,000 – $750,000$750,000 – $800,000$800,000 – $850,000$850,000 – $900,000$900,000 – $950,000$950,000 – $1,000,000Over $1,000,000Business Street Address City State / Canadian ProvinceAlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonZip/Postal Code Business PhoneBusiness FaxWebsite Bank InformationPrimary Bank Account Number Bank PhoneBank Contact Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last General Equipment DescriptionEquipment Cost Expected Delivery Date MM slash DD slash YYYY Vendor InformationBeach Equipment Co. Inc./RAVAmerica, Nick McCullough, Phone: 903-834-3986, 110 Plaza W, Texarkana, TX 75501 Equipment Financing ApplicationPrimary Owner/Officer Information% of Ownership Name First – As shown on Driver’s License Last Suffix Social Security Number Primary Owner/Officer Address City State / Canadian ProvinceAlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonZip/Postal Code Home (Primary) PhoneCell (Secondary) PhoneEmail Enter Email Confirm Email Will there be a Secondary Owner/Officer Yes No Secondary Owner/Officer Information% of Ownership Name First – As shown on Driver’s License Last Suffix Social Security Number Secondary Owner/Officer Address City State / Canadian ProvinceAlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonZip/Postal Code Home (Primary) PhoneCell (Secondary) PhoneEmail Enter Email Confirm Email Equipment Financing Application Authorization/Disclosure(Required)The above information, together with any accompanying financial statements, schedules, or other materials, is submitted for the purpose of obtaining credit and is warranted to be true, correct and complete. The undersigned hereby warrants that any individual identified above who is either a principal, a personal guarantor or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, has provided his/her written authorization for inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, and shall hold Beach Equipment/RAVAmerica or its assignee’s, agents or nominees harmless from same. You understand that such investigation may include seeking information as to the background, credit and financial responsibility of your officers and principals (or any of them). The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age (provided the applicant has the capacity to enter into the binding contract); because all or part of the applicants income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. If for any reason your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial within 60 days from the date you are notified of our decision. To obtain the statement, please write to the lending company within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial of credit within 30 days of receiving your request for the statement. I accept the “Declaration” online credit authorizationWe will contact you with total amount due with taxes, shipping.Signature Signature (Secondary Owner/Officer) CAPTCHA