jims stationary request

Franchisee Details

Name *

Phone *

Email *

Address

Address *

Address

City

State/Province

Zip/Postal

Business Details

Division Type *

Franchise Start Date *

Franchise Territory *

Franchisor Name *

Vehicle Details

Vehicle Type *

Vehicle Make *

Vehicle Model *

Vehicle Colour *

Vehicle Year *

Vehicle Rego *

Decal Removel Required - Fees apply. *

Yes

No

Vehicle Pickup Required - Fees apply. *

Yes

No

Additional Details

(Please include any damage to your vehicle)

Payee - (Invoice To): *

Please Note:Your vehicle must be washed prior to drop off. If the vehicle is dropped off without being washed satisfactorily then a cleaning charge will apply and separately invoiced. The car wash invoice will be required to be paid prior to pick up.

Re-scheduling Fee *

I understand that a re-scheduling fee of $250 will be charged if notice isn't provided 48hrs prior to the appointment.

Car Wash & Preparation Fee *

I understand that the vehicle must be satisfactory cleaned or a $75 car wash & preparation fee will apply.

Jims Stationary Request Form

Franchisee Details

Address

Business Details

Vehicle Details

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