Set Up An Account

To set up an account with Unicorn Truck Tank Wash, please fill in the application below:



Business Profile

Company Name:
Mailing Address:
City:
Province:
Postal Code:
Phone #:
Fax #:
Mobile #:
Email Address:
Credit Limit Requested:

Owner's Information

Name:
Title:
Phone #:
SIN #:
Mailing Address:
City:
Province:
Postal Code:
Date Business Started:
Nature of Business:
Prov Tax License # (if applicable):

Bank References

Name of Bank:
Branch Address
City:
Province:
Postal Code:
Branch Contact:
Account Number:

Business References

Supplier Name:
Telephone #:
Fax #:
Supplier Address
City:
Province:
Postal Code:

Supplier Name:
Telephone #:
Fax #:
Supplier Address
City:
Province:
Postal Code:

Terms and Conditions

By submitting this form we do herby certify that the above statements are correct, by an authorized officer of the above company. The applicant does herby agree to pay all accounts within 30 days and also agrees that in the event of delinquent accounts to pay 2% interest rate per month on each 30 days the account is over due.