Account Wrapper
Customer Information :
Customer Information
Service Type
Retail Store
Home/Office Delivery
Title
Choose a title
Mr.
Mrs.
Miss
Ms.
*
First Name
*
Last Name
*
Email Address
*
Retype Email Address
The email and confirmation must match!
*
Password
(6-30 characters. Requires 3 of the 4 classes: upper case alpha, lower case alpha, numeric, special characters)
Password is not strong enough. Please make sure that your password length is 6-30 characters and it contains 3 of the 4 classes: upper case alpha, lower case alpha, numeric, special characters.
*
Retype Password
(must match exactly)
The password and confirmation must match!
Birthday
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Address
(click for more addresses)
*
Address 1
Address 2
*
City
*
Province
Choose a Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland And Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
*
Post Code
?#? #?#, ?#?#?#,
more
Delivery Address
Delivery Address
Same as primary address
Address 1
Address 2
City
Province
Choose a Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland And Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Post Code
?#? #?#, ?#?#?#,
more
Billing Address
Billing Address
Same as primary address
Address 1
Address 2
City
Province
Choose a Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland And Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Post Code
?#? #?#, ?#?#?#,
more
Phones
(click for more phones)
(2 Phone numbers are required)
Home
Ext.
(###) ###-####
Cell
Ext.
Business
Ext.
Other
Ext.
Available Options
Notify Me With
Disabled
Email1
Email2
Email3
Email4
On Batch Emails Sent
Disabled
Email1
Email2
Email3
Email4
PhoneSMS
On Delivery Notification
Disabled
Email1
Email2
Email3
Email4
When Report Email Presentation
Disabled
Email1
Email2
Email3
Email4
When Route Orders are Detailed
Disabled
Email1
Email2
Email3
Email4
PhoneCell
PhoneHome
PhoneOther
PhonePrimary
PhoneSMS
PhoneWork
On Route Reminder
Disabled
Email1
Email2
Email3
Email4
Coupons, Promotions or Specials
Credit Card
(click for more credit cards)
(required)
*
Credit Card Number
(Numbers Only, No Spaces)
*
Exp.
(MM/YY)
Start Date
:
(MM/YY)
Issue
:
(0, 1 or 2 digits)
Credit Card Entry
Second CC Number
(Numbers Only, No Spaces)
Exp.
(MM/YY)
Start Date:
(MM/YY)
Issue
:
(0, 1 or 2 digits)
Preferences
Laundry Shirts:
Laundry Shirts Starch:
Hang
Box
Fold
Light
Medium
Heavy
None
Comments
0/250
Captcha
Captcha
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Customer Acceptance
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Version:
6.1.167.0