Business & fleet accounts

Fleet account inquiry

Complete the form below and submit it securely online. METROSHINE will receive the application and follow up with you.

Complete the form

BUSINESS & FLEET SERVICES

Fleet Account Inquiry

Complete all applicable fields and provide three business credit references.

Tell us about your business.

Legal company name *DBA / trade name (if different)Street address *City *State *ZIP code *Main phone *Company email *Company websiteType of businessYears in businessNumber of employees

CONTACT & BILLING

Who should manage the account?

Primary account contact

Name *TitlePhone *Email *

Accounts payable contact

NamePhoneEmailBilling address (if different)CityStateZIP code

FLEET NEEDS

Choose the account setup you need.

Requested program Prepaid WashCards with bonus value Monthly charge account (subject to approval) Not sure — please contact me

Number of vehicles *Number of drivers / cards requestedEstimated washes per monthEstimated monthly spendPreferred start datePrimary METROSHINE location

Special billing, reporting, vehicle, or usage-limit needs

BUSINESS CREDIT REFERENCES

Provide three companies that extend credit to your business.

Please list trade references other than personal references or financial institutions. METROSHINE may contact these companies when reviewing a monthly charge account request.

Credit reference 1

Company name *Contact name *Phone *EmailAccount number (last 4 digits only, if applicable)How long has the account been open?Approximate monthly credit / purchases

Credit reference 2

Company name *Contact name *Phone *EmailAccount number (last 4 digits only, if applicable)How long has the account been open?Approximate monthly credit / purchases

Credit reference 3

Company name *Contact name *Phone *EmailAccount number (last 4 digits only, if applicable)How long has the account been open?Approximate monthly credit / purchases

AUTHORIZATION

Review and sign.

By submitting this application, I certify that the information provided is true and complete. I authorize METROSHINE to contact the listed business references for the purpose of evaluating this inquiry. I understand that submitting this form does not guarantee approval or establish credit terms.

Authorized representative name *Title *Type full name as electronic signature *Date *

I certify and authorize the information above. *