{"id":814,"date":"2023-03-01T04:49:22","date_gmt":"2023-03-01T04:49:22","guid":{"rendered":"https:\/\/www.whitestractor.com\/?page_id=814"},"modified":"2025-08-11T15:50:40","modified_gmt":"2025-08-11T15:50:40","slug":"parts-service-credit-application","status":"publish","type":"page","link":"https:\/\/www.whitestractor.com\/parts-service-credit-application\/","title":{"rendered":"Parts &#038; Service Credit Application"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"814\" class=\"elementor elementor-814\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0f70617 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0f70617\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f995a40\" data-id=\"f995a40\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8487a4d elementor-widget elementor-widget-text-editor\" data-id=\"8487a4d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tWhite&#8217;s International Trucks is happy to offer our qualified customers the convenience of credit options for service work and major parts purchases. Please click on the link below and provide us with as much detail as possible so we quickly respond to your request.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb87b74 elementor-widget elementor-widget-button\" data-id=\"bb87b74\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.whitestractor.com\/contact-us\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Contact Us<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6fd3b0a elementor-widget elementor-widget-heading\" data-id=\"6fd3b0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Credit Application Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a3ed62 elementor-widget elementor-widget-shortcode\" data-id=\"1a3ed62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_23' ><div id='gf_23' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_23' id='gform_23'  action='\/wp-json\/wp\/v2\/pages\/814#gf_23' data-formid='23' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LeUifYpAAAAADfzTtKoYACfE4zxM8yh2DGqiT1r' data-tabindex='0'><input id=\"input_bec7ca089528cf1fdac3a3dced30b276\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_bec7ca089528cf1fdac3a3dced30b276\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_23' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>2<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_23_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_23' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_23_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_1'>Company Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_23_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_5'>DBA If Applicable<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_23_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_4'>Billing Address<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_23_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_3'>Physical Address<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_23_3' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_64\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_64'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_64' id='input_23_64' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_6'>Cell<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_23_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_65\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_65'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_65' id='input_23_65' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_23_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_8'>Federal ID<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_23_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_23_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of Ownership<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_83'>\n\t\t\t<div class='gchoice gchoice_23_83_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Sole Proprietor:'  id='choice_23_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_83_0' id='label_23_83_0' class='gform-field-label gform-field-label--type-inline'>Sole Proprietor:<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_83_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Corp'  id='choice_23_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_83_1' id='label_23_83_1' class='gform-field-label gform-field-label--type-inline'>Corp<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_83_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Partnership'  id='choice_23_83_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_83_2' id='label_23_83_2' class='gform-field-label gform-field-label--type-inline'>Partnership<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_13'>Year of Incorporation if Applicable<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_23_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_23_85\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Tax Exempt Status<\/legend><div class='gfield_description' id='gfield_description_23_85'>(Please include copy of your tax exempt document with application if applicable)<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_85'>\n\t\t\t<div class='gchoice gchoice_23_85_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='yes'  id='choice_23_85_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_23_85\"   \/>\n\t\t\t\t\t<label for='choice_23_85_0' id='label_23_85_0' class='gform-field-label gform-field-label--type-inline'>yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_85_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='No'  id='choice_23_85_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_85_1' id='label_23_85_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_18'>Number of years in business<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_23_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_87\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_87'>Type of Business Operated<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_23_87' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_19'>Number of Equipment Owned\/Operated<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_23_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_20'>Credit Line Requested<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_23_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_88'>Principal owner\/person responsible for payment on account<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_23_88' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_23_81' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_23_2' class='gform_page' data-js='page-field-id-81' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_23_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_23_89\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Application for Credit is hereby made and the following references given. It is understood that this information will be held in strictest\nconfidence and used only by the credit department.<\/p>\n<\/div><div id=\"field_23_30\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Business Bank Account:<\/h3><\/div><div id=\"field_23_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_31'>Account No<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_23_31' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_36'>Location<\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_23_36' class='large gfield_select'     aria-invalid=\"false\" ><option value='Select Location' >Select Location<\/option><option value='WILSON, NC' >WILSON, NC<\/option><option value='GOLDSBORO, NC' >GOLDSBORO, NC<\/option><option value='GREENSBORO, NC' >GREENSBORO, NC<\/option><option value='HIGH POINT, NC' >HIGH POINT, NC<\/option><option value='MOUNT AIRY, NC' >MOUNT AIRY, NC<\/option><option value='NEW BERN, NC' >NEW BERN, NC<\/option><option value='WINTERVILLE, NC' >WINTERVILLE, NC<\/option><option value='No Location' >No Location<\/option><\/select><\/div><\/div><div id=\"field_23_67\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_67'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_67' id='input_23_67' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_34'>Contact<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_23_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">BUSINESS REFERENCES WHERE CREDIT IS NOW EXTENDED             PLEASE DO NOT USE CREDIT CARDS, FUEL CARDS, PHONE , UTILITIES, FOR REFERENCES.<\/h3><\/div><fieldset id=\"field_23_90\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >1.<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Address<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">City<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">State\/Zip<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Phone<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Fax\/Email<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false'   aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell2 gform-grid-col' data-label='Address'><input aria-invalid='false'   aria-label='Address, Row 1' data-aria-label-template='Address, Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell3 gform-grid-col' data-label='City'><input aria-invalid='false'   aria-label='City, Row 1' data-aria-label-template='City, Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell4 gform-grid-col' data-label='State\/Zip'><input aria-invalid='false'   aria-label='State\/Zip, Row 1' data-aria-label-template='State\/Zip, Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell5 gform-grid-col' data-label='Phone'><input aria-invalid='false'   aria-label='Phone, Row 1' data-aria-label-template='Phone, Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell6 gform-grid-col' data-label='Fax\/Email'><input aria-invalid='false'   aria-label='Fax\/Email, Row 1' data-aria-label-template='Fax\/Email, Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 3)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 3)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_92\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >1.<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Address<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">City<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">State\/Zip<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Phone<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Fax\/Email<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false'   aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell2 gform-grid-col' data-label='Address'><input aria-invalid='false'   aria-label='Address, Row 1' data-aria-label-template='Address, Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell3 gform-grid-col' data-label='City'><input aria-invalid='false'   aria-label='City, Row 1' data-aria-label-template='City, Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell4 gform-grid-col' data-label='State\/Zip'><input aria-invalid='false'   aria-label='State\/Zip, Row 1' data-aria-label-template='State\/Zip, Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell5 gform-grid-col' data-label='Phone'><input aria-invalid='false'   aria-label='Phone, Row 1' data-aria-label-template='Phone, Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell6 gform-grid-col' data-label='Fax\/Email'><input aria-invalid='false'   aria-label='Fax\/Email, Row 1' data-aria-label-template='Fax\/Email, Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 3)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 3)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_91\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >1.<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Address<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">City<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">State\/Zip<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Phone<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Fax\/Email<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false'   aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell2 gform-grid-col' data-label='Address'><input aria-invalid='false'   aria-label='Address, Row 1' data-aria-label-template='Address, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell3 gform-grid-col' data-label='City'><input aria-invalid='false'   aria-label='City, Row 1' data-aria-label-template='City, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell4 gform-grid-col' data-label='State\/Zip'><input aria-invalid='false'   aria-label='State\/Zip, Row 1' data-aria-label-template='State\/Zip, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell5 gform-grid-col' data-label='Phone'><input aria-invalid='false'   aria-label='Phone, Row 1' data-aria-label-template='Phone, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell6 gform-grid-col' data-label='Fax\/Email'><input aria-invalid='false'   aria-label='Fax\/Email, Row 1' data-aria-label-template='Fax\/Email, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 3)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 3)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_23_49\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_49'>The following are authorized to order\/sign on acct:<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_23_49_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_23_49_valid' id='input_23_49_valid' \/><canvas id='input_23_49' width='300' height='180'><\/canvas><\/div><\/div><\/div><div id=\"field_23_51\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>We (I) understand that your terms are net 30 days, payable by the 10th of the month following statement. We (I) further understand that if our (my)\npayment is not received by your office by due date, a delinquent charge at the rate of 1.5% per month (annual percentage rate of 18%) will be added to\nthe outstanding balance.<\/p><\/div><div id=\"field_23_52\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>White's Tractor & Truck\/White's International Trucks reserves the right to limit purchases and serve requests and the right to place our (my) account on\nCOD should our (my) line of credit be exceeded and\/or account payments are not received to the satisfaction of your company.\nIf this account is placed for collection or any legal expense is incurred to enforce any of our rights or claims, applicant agrees to pay all costs thereof,\nincluding attorney's fees in the maximum amount allowed in the state of the applicant or the business, but not less that 15% of the outstanding balance\nwhen placed for collection. The applicant agrees: (1) this agreement shall be construed in accordance with the laws of the state of North Carolina: (2)\nAny dispute arising under this agreement shall be adjudicated in the state courts of North Carolina and waives any defense of inconvenient venue in\nsaid state.<p\/><\/div><div id=\"field_23_53\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>I hereby personally, absolutely and unconditionally guarantee payment of any and all account, credit balances and debts of any kind, now or hereafter\ndue and owing by the applicant to White's Tractor & Truck\/White's International Trucks, it's successors and assigns. This guaranty shall be continuing\nand irrevocable for any such indebtedness. I hereby waive notice of default, nonpayment and notice thereof and consent to any modification or\nrenewal of the credit agreements hereby guaranteed. If this guaranty is placed for collection or any legal expense is incurred to enforce or preserve\nany of our rights or claims, the undersigned agrees to pay all costs thereof, including attorney's fees in the maximum amount allowed in the state of the\napplicant or the business, but not less than 15% of the outstanding balance when placed for collection. The applicant agrees: (1) this agreement shall\nbe construed in accordance with the laws of he state of North Carolina: (2) any dispute arising under this agreement shall be adjudicated in the state\ncourts of North Carolina and waives any defense of inconvenient venue in said state.<p\/><\/div><div id=\"field_23_54\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >I hereby personally, absolutely and unconditionally guarantee payment of any and all account, credit balances and debts of any kind, now or hereafter due\nand owing by the applicant to White's Tractor & Truck\/White's International Trucks, it's successors and assigns. This guaranty shall be continuing and\nirrevocable for any such indebtedness. I hereby waive notice of default, nonpayment and notice thereof and consent to any modification or renewal of the\ncredit agreements hereby guaranteed. If this guaranty is placed for collection or any legal expense is incurred to enforce or preserve any of our rights or\nclaims, the undersigned agrees to pay all costs thereof, including attorney's fees in the maximum amount allowed in the state of the applicant or the\nbusiness, but not less than 15% of the outstanding balance when placed for collection. The applicant agrees: (1) this agreement shall be construed in\naccordance with the laws of he state of North Carolina: (2) any dispute arising under this agreement shall be adjudicated in the state courts of North\nCarolina and waives any defense of inconvenient venue in said state<\/div><div id=\"field_23_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_55'>Printed Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_23_55' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_57\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_57'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_57' id='input_23_57' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_23_57_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_23_57_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_23_57' class='gform_hidden' value='https:\/\/www.whitestractor.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_23_58\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_58'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_23_58_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_23_58_valid' id='input_23_58_valid' \/><canvas id='input_23_58' width='300' height='180'><\/canvas><\/div><\/div><\/div><div id=\"field_23_60\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>You will need to email the credit application to AR@whitestractor.com <\/strong><\/p><\/div><div id=\"field_23_70\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">OFFICE USE ONLY<\/h3><\/div><fieldset id=\"field_23_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Account to be used for<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_23_62'><div class='gchoice gchoice_23_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Parts'  id='choice_23_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_62_1' id='label_23_62_1' class='gform-field-label gform-field-label--type-inline'>Parts<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='Service'  id='choice_23_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_62_2' id='label_23_62_2' class='gform-field-label gform-field-label--type-inline'>Service<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_76\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_76'>Approved By:<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_23_76' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_80\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_80'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_80' id='input_23_80' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_23_80_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_23_80_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_23_80' class='gform_hidden' value='https:\/\/www.whitestractor.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_23_77\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_77'>Credit Line:<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_23_77' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_78\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_78'>Account No:<\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_23_78' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_23' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <input type='hidden' name='gform_ajax' value='form_id=23&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=a892c69beddf8243444898b95e9f46b6' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_23' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_23' id='gform_theme_23' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_23' id='gform_style_settings_23' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_23' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='23' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_23' value='WyJ7XCI4M1wiOltcImYwNDhlM2MyZGFkZGViMDNhNTgxYTZhNTRiNmQ4NmM3XCIsXCI4MWUzNzcxNTQ2Zjc1NWZiZTk1NDMxODEyMmZiOTBiM1wiLFwiZTUyOGExOWIzMTJiMzQ0Nzk0YzI3OTNiMTE4ZTE1MjFcIl0sXCI4NVwiOltcIjk5Nzc3MjQyOTAwYTA1ZWEyMTZiM2VmYzZhOGQ5ZTQ3XCIsXCI4ODdjMzMyNWJiYjE5ZmRjY2Y2MWEzMTVlZGM1NGJlNVwiXX0iLCJhYTBmM2IzYjYwZjczYWU3M2VjMjJiMTc0YzFiMjZiNSJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_23' id='gform_target_page_number_23' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_23' id='gform_source_page_number_23' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"243\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_23' id='gform_ajax_frame_23' title='This 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