Home - Direct Bill Application 1320 Aviation Way, Caldwell ID 83605 (208) 453-2200 Return to Email: info@bluebirdtruckwash.com Company Information:Company Name Billing Address Person to Contact Phone NumberEmail Address Ext Please Answer the Following Questions How long has your company been in business?Years Months What wash services are you interested in? Approximately how often will your company be using our facilities per month? How many vehicles are in your fleet? Please specify the type of vehicle (# of tractors, trailers, etc.): Please list the names of those who are authorized to make reservations with instructions to bill charges to your company. (Please use first and last name) Add RemoveCredit References:CompanyContact Person & Phone #Email Add Remove(attach a separate sheet if needed)Terms & Agreement: All charges direct billed are due within 30 days of the date of charge. Any account balances outstanding after 30-day period will be subject to a finance charge of 1.5% (APR of 18%) unless prior written approval has been obtained.Terms & Agreement: Your company is responsible for all wash services charged to your account.Terms & Agreement: We hereby agree to the terms of this Direct Bill Application.Printed Name SignatureDate MM slash DD slash YYYY 30140