Credit Card Authorization Form

Attention!
Until a new form can be made, please include the three-digit authorization number on the back of your credit card after the credit card number line. Thankyou!
Credit Application PDF
   credit app.pdf   
(221,163 bytes)
Credit App PDF
  
Bank/Credit/Debit Card Authorization Form
   bc auth form pdf.pdf   
(10,241 bytes)
Credit Card Authorization Form to be filled out by any dealer wishing to have Washer Specialties bill their credit card for any future purchases.

Phone: 316 263-8179 or 800 835-1010, Fax: 316 263-2040 or 800 835-1150
224 Indiana,    Wichita,  Ks   67214
8:00 AM to 5:30 PM M-F,  8:00-Noon on Saturday,  Closed on Sundays and Holidays.
Tempstar Distributor for Kansas


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