Interested in having an open account with Little Sister’s Truck Wash? Fill out the form below and an associate will reach out to you for your next steps!Company Name *First Name *Last Name *Position Title *Email *Phone Number *Street Address *City *State/Province *ZIP / Postal Code *Billing/Mailing Address (if different)Select Professional StatusCorporationIndividualFed. Tax ID NumberState of IncorporationDate of incorporationSocial Security NumberDate Business StartedCredit ReferencesReference 1Company Name *Company Address *Company Phone Number *Reference 2Company Name *Company Address *Company Phone Number *Fleet Size (Trucks/Tractors)Fleet Size (Trailers)Preferred Location, Please select all that applyEloy, AZBarstow, CAThousand Palms, CAHesperia, CAFontana, CACharged Privileges: Please select all items allowed to be charged to your company account. *Tractor WashTrailer WashFlatbed WashSteam CleaningTrailer WashoutTire DressingSpray-on WaxRain-XPolishingShowersScales (Hesperia Only)Detailing (Fontana Only)Other Vehicle WashPlease DescribeKindly Select as you agree to our Terms & Conditions *Accounts must be kept current; statements are due in full upon presentation and no later than the 20th of the month following charges.If you require a PO, your driver should have it prior to washing. It will be noted on the invoice. Our cashiers do not call for PO numbers.Payment is by STATEMENT ONLY, paid by the 20th of the month; individual invoices are not credited.Credit accounts must maintain a minimum activity of $200 per month; inactive accounts may be closed.Make sure the information is correct *I certify the above information is correct and understand I am liable for collections. Little Sister's Truck Wash, Inc. has permission to verify the above information and request a credit report.Authorized Signature | Printed NameDate Submit