Blue Spruce Cleaners



Blue Spruce Cleaners

Po Box 1046

Jackson WY 83001

307-734-0424

Fax 307-733-8294

Charge Account Application

NAME:

MAILING ADDRESS:

PHYSICAL ADDRESS:

CITY: STATE: ZIP:

PHONE:

H W C

CREDIT CARD TYPE:

VISA, AMERICAN EXPRESS, MASTER CARD, DISCOVER

CARD # expires:

CHARGE CARD WITH EACH ORDER

CHARGE CARD AT THE END OF EACH MONTH

PLEASE CHOOSE ONE OPTION

UPON ACCEPTANCE I AGREE TO ALLOW EACH INVOICE FROM

BLUE SPRUCE CLEANERS TO BE DEBITED TO MY CREDIT CARD

PRIOR TO PICKUP OR DELIVERY. I AGREE TO KEEP AN ACTIVE

ACCOUNT ON FILE AT BLUE SPRUCE CLEANERS AT ALL TIMES AND INFORM BLUE SPRUCE CLEANERS IMMEDIATELY OF ANY CHANGES

TO MY ACCOUNT

CUSTOMER’S SIGNATURE DATE

PRINT NAME

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download