General Company Contacts
Name of Company
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Account Principal and/or Owner
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Additional Account Manager(s) (for managing employee contact and account access information with Continental Laundry Solutions
Leads Contact (only 1 per company)
*
Shipping Notifications Contact (only 1 per company)
*
Company Contacts
Account Principal or Owner Signature
*
Printed Name & Title
*
Date
*
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Month
-
Day
Year
Date
Submit
Should be Empty: