Credit Application Name * First Name Last Name Company Name * Phone * (###) ### #### Email * Business Type * Laundromat On-Premise Laundry Multi-Family Laundry Other Ownership Sole Proprietorship Corporation Partnership References Please provide 3 references from those you buy from on open account. Reference 1 Name Reference 1 Phone Reference 1 Address Reference 2 Name Reference 2 Phone Reference 2 Address Reference 3 Name Reference 3 Phone Reference 3 Address Primary Bank Information Bank Name Account # Bank Address Thank you, we will review your credit application and get back to you shortly.
