Fleet Account Application

Fleet Account Application - Organic

Upon submission, this request will be reviewed within 2-5 business days.

It is imperative the primary email address is entered to this form correctly. Email will be the primary initial form of communication.

Shall your application be accepted without further inquiries needed, allow an additional 1-3 business days for back-office team to configure the fleet account in order for our system to be ready to process wash redemptions.

Referred By*

First name, Last name

Name of Business*

Enter complete business name as it would appear on an i9 and payments disbursed to.

Other Business Type Explanation*

Business Website*

Website address preferred, however, will consider social media link if no web address is available.

Primary Contact Name*

Enter the primary point of contact, This person will be required to authorize and submit any adjustments or questions regarding the account as well as receive all billing invoices.

Primary Contact Phone Number*

Phone

Provide an email address for the Primary Billing Contact*

This is the email address all billing information will be sent to.

Billing Email Alternative

If your business requires a secondary billing email address please list it here.

Business Street Address*

City*

State*

Zip Code*

Nearest Car Wash Location Address*

Ideally the primary location used by the majority of the fleet vehicles.

Estimated Number of Vehicles*

Fleet account requires a minimum of 8 vehicles.

General Description of Fleet*

Provide the best description possible to describe type of vehicles to be serviced. Notate any aftermarket products installed such as light bars, racks, and other special modifications. Our Car Wash tunnels can accommodate most vehicles, however, certain modified vehicles are unable to be processed. Our Fleet team will review this description before approval of your request. We may ask additional follow-up questions or request example photos of vehicles.

It is not necessary to provide a complete detailed description of vehicles. Upon an accepted application, you will receive a web link requesting to upload the complete fleet vehicle information required to be registered which will allow for car wash redemptions upon approval.

Preferred Payment Type*

Credit Card / Auto Billing

ACH / Bank Transfer

Invoice with Terms

Is your business exempt from Sales & Use Tax?*

Yes

Is this business a Government Agency?*

Yes

Government Agency Preferred Payment Period.*

Monthly

Quarterly

Annually

Desired Wash Package Level*

$30 - Max Wash *Best Value*

$20 - Micro Wash

$10 - First Responders ONLY

BULK Wash Voucher Program

Do you have any additional comments, questions, or concerns?*

Acknowledgement*

Checking the below acknowledgement box confirms the understanding this submission is an application only and is subject to approval. The application process may take 2-5 business days and are the decision of the company to approve or deny for any reason.

You will receive confirmation and next steps via the email address provided. Special conditions may apply.

Person submitting this form and acknowledging the above statement.*

First & Last Name with Title

Send me a copy of my responses

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