PROFESSIONAL TRUCK WASHING SERVICES
255 ROBERTS RD
COLUMBUS, OH 43228
614-850-0933 FAX 614-850-0934
CREDIT APPLICATION


Company Name_______________________________Phone ( )_____________________

Address____________________________________City_____________St____Zip_______

Company Fax___________________ E Mail______________________________________

Company Status: Corporation___ Partnership___Owner/Operator___

How many tractors and trailers do you own?___. On an average, how many trucks will you wash per month?___

P.O. number required? Yes___No___. If Yes, Please list contact names and phone numbers__________________________________________. Please list any special washing instructions_________________________________________________________________

Are there any truck washes you are using now? Name________________________City______________________State_____
What do you like about their service?____________________________________________

Credit References:
Bank______________________________________________________________________
Contact Name:______________________________________________________________
Contact Name:______________________________________________________________
Contact Name:______________________________________________________________
Contact Name:______________________________________________________________
Accounts are given after the credit application is approved. All accounts are NET 30 DAYS and past due thereafter. A 1.5% charge per month will be charged on all past due invoices. Professional Truck Washing Services has permission to contact the credit references listed above for credit information. Upon credit being approved I guarantee all payments within the agreed terms. I will also be responsible for fees accrued to Professional Truck Washing Services for NSF checks or collection/legal action. I also certify that all the information provided is correct.

Printed Name___________________________Title_________________________________

Authorized Signature_______________________________

Date___________________