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$3.00 Activation Required (non-refundable)
Phone: (847) 996-6690
Fax: (847) 362-5294
Todays Date:
Corporation:
We will deliver to your
Corporate Address:
City:
State:
Zip code:
"REQUIRED" information for all account holders (sorry no P.O. Box accepted)
Home Phone Number:
Corporate Phone Number:
Cell Number:
Last Name:
First Name:
Home Address:
City:
State:
Zip code:
Drivers License #:
State: DOB:MO: Day: Yr:

Choose for cotton laundered shirts:
Starch Shirt Preference:
LT.
MED.
HVY.
None
Select one:
Hangers

Payment Method: Monthly Credit Card Only!!!
We accept... Visa - MasterCard - Discover - American express
Card Number:
Expiration Date:
CVV#:
Enter verification code below

By clicking the summit button you are agreeing to the terms below.

Account will be billed to your CC each month. A maximum of $5.00 or 1-1/2% finance fee will automatically be assessed by the computer if credit card does not pay in full before the 30th of statement date. A $3.00 (non-refundable) activation fee is required. Customer is responsible to pay for any finance charges apply to the account for bounced CCard! *NO discounts, coupons or promotions apply to this corporate account. You, the account holder is responsible for your personal d/c bag. Account holder will be charged for any person making us of d/c bag, thus generating d/c charges. No exceptions! DO NOT LEAVE D.C BAG UNATTENDED! we will not reveal or read charge any individual who has used your d/c bag. You must personally contact us with any account info required to hold a charge account. Thank you for your business