There are two simple ways to apply for credit from Highway Trailer Sales. Fill out the form below, or download an Adobe Acrobat version, print it out and send it to Highway.
Firm Name:
Office Phone:
Street Address:
 
Fax:
City, State, Zip:
Shop Phone:
Billing Address:
Shipping Address:
Type of Company:
State and Date Incorporated:
Type of Business:
D & B Number:
Fed. Tax ID#(or SSN #):
Sales Tax?
If no, select:
If sales tax exempt, please give sales tax number:
Owners & Officers of the Company
Name Title Address
Person(s) Authorized to Purchase:
P.O. Required:
Bank:
Address:
 
Account #:
Contact:
Trade References Address Phone Contact
By pressing the "Submit" button below, you agree to the following:

The above information is given for the purpose of obtaining credit and is warranted to be true. I/we hereby authorize the firm to whom this application is made to investigate the references listed pertaining to my/our credit and financial responsibility. Listed bank and trade references are hereby authorized to release credit information to Highway Trailer Sales, Inc. or its agents upon request.
To download the PDF version of the application, click here. Simply print out the application and send it to Highway Trailer Sales. If you do not have Adobe Acrobat Reader, you may download it here.

Highway Trailer Sales
1850 N. Southern Road
Kansas City, Missouri, 64120
Phone: 816-483-3676
Fax: 816-483-0835
E-Mail: sales@highwaytrailer.com