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PERSONAL INFORMATION
* Indicates a required field
First Name*
Last Name*
Middle
Home Street Address, if different than DL City State
Zip Code
Home Phone
Cell Phone*
Email Address*
CARD ON FILE INFORMATION
In order to qualify for True Legends benefits, a valid card must be kept on file for your account that will be used for all rentals
Card Type (select one):*
- Visa
- Mastercard
- Amex
- Discover
Last 4 digits of the credit card on file*
Compliance & Terms
You authorize NTR to obtain and retain your credit information and history, and to submit all amounts coming due hereunder for payment on your debit or credit card, and you waive all offsets, chargebacks, and other claims with respect thereto. *If at any time you need to change your card on file, you must contact our office at 404-850-7048.
COMPANY INFORMATION
Market Segment
Please select which group best describes your business or line of work:
- Concrete / Masonry / Demolition
- Contractor
- Custom Homebuilder
- Do-it-Yourself
- Facility / Industrial Maintenance
- General
- Government Agency
- Handyman
- Home Renovations
- Interior Buildout / Commercial Remodeling
- Landscape
- Mechanical / Electrical / Plumbing / HVAC
- Painting
- Paving / Grading
- Pool Builder
- Property Management
- School / Church
- Specialty Contractor
- Utility Contractor
- Other
Legal Company Name In Full
Phone
Contact Name
Key Contacts/Employees Authorized To Rent
Name Position Phone Number Email Address
NTR Employee Responsible
For Internal Use Only

Northside Tool Rental • 35 Irby Avenue NW, Atlanta, GA 30305 • 404-237-9515

Name	Position	Phone Number	Email Address

PERSONAL INFORMATION