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Open Daily - 5:00 AM - 9:00 PM 5226 4 Ave, Edson, Alberta (780) 723-4622 contact@u-autowash.ca

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Credit Application

Complete the online form or print the Credit Application

Company Legal Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Cell Phone

Work Phone *

Email Address

Nature of Business *

Number of Years in Business *

Owner's Name *

Banking Information

Bank

Branch

Phone

Trade References

Name

Phone

Email Address

Name

Phone

Email Address

Name

Phone

Email Address

Estimated Monthly Credit Required ($): *

The Information provided on this application is true, accurate and complete. The undersigned authorizes U-Auto Wash/Splash & Go Car Wash to make such credit investigations as is necessary in connection with this application and/or any ongoing credit transaction. All credit information gathered shall be held strictly confidential.

Terms: Minimum monthly credit is $60.00. I/We understand that all invoices are due and payable within 30 Days of statement date. I/We acknowledge that 6% per month will be charged on all overdue accounts. I/We also acknowledge responsibility for all collection costs that may be incurred by U- Auto Wash/Splash & Go Car Wash if the above terms are not met. I/We acknowledge that payment of statement with any credit card is subject to a 3% credit card fee. I/We acknowledge that any statement not payed within the given terms will be charged to the credit card on file.

Name on Card *

Credit Card to Bill if Terms Not Met *

CVV

Expiry Date *

Please indicate the services required for credit purposes: *

WashesFuelIn Store Goods

* Number of Fleet Cards Required: *

Title *

Name *

Date *

Signature *

Start signing your signature here

Consent *

I agree to the above terms:

Please do not fill in this field.

Copyright 2021 - Grant Co | Husky U-Auto Wash

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