Vendor Application Form – Rent Me Florida

Company Name

Contact

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone

Federal ID Number

License Number

Liability Insurer

Types of Services you Provide

Years in Business

Number of Employees

Do You Run Background Checks on Employees?

Yes
No
NA

Do You Run Background Checks on Employees? (copy)

Yes
No
NA

Do You Accept Credit Cards?

Yes
No

By submitting this form you certify that all the information given above is true and correct and understand that my agreement may be terminated if I have made any material false or incomplete statements in this application.