commercial-credit-application

Legal Name(Required)

D.B.A.(Required)

Address(Required)

Primary Account Contact:

Name(Required)

Phone(Required)

Email(Required)

Requirements:(Required)

P.O. Number

Reference Number

Please send a monthly statement

Other

Payment Options: (Please check one)(Required)

I’d like to open a business account and pay at the time of service ( Card / Comchek / EFS / T Chek)

Credit/Debit card paid within 10 days of invoicing (4% processing fee added after 10 days)

Company Check mailed to 2019 E. Lincoln Way, Ames IA, 50010

Business to Business References

business name, contact name, contact number

Reference 1

Reference 2

Reference 3

It is at the sole discretion of Central Iowa Towing and Recovery to approve or deny this application. Terms are 30 days from the date of service rendered. Central Iowa Towing and Recovery reserves the right to suspend or cancel this account at any time for any reason. Past Due accounts will incur a 1.5% late fee for each month that current charges are unpaid.

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