Operator credit application.

Tell us about your company and the equipment you need. The application comes straight to us, and we will follow up by telephone. No account numbers are requested here; bank and trade references are contacted directly.

Fields marked * are required.

Company Legal name of company Doing business as (if different)

Type of entity

State of organization

Years in business

Railroad Commission operator number (if any)

Principals (names)

Addresses Physical address Mailing address (if different)

Contact

Contact name

Position

Phone number

Bank reference

Bank

Bank contact and phone

Trade references Reference 1 (company, contact, phone) Reference 2 (company, contact, phone) Reference 3 (company, contact, phone)

Equipment requested Equipment and quantity

Lease term wanted (months)

Anticipated start date (month and year)

Location (county and state) Anything else we should know

I certify that the information given is accurate and authorize Meridian Holding Partners LLC to contact the references listed.