Charge Account Application and Express Bag Order Form

Charge Account Application:
The information you enter below will be used for setting up an account with Lemon Fresh and will not be shared with any other business, individual, etc.  We respect your privacy.

Personal Information

First Name:   Last Name:

Home Address:

City:   State:   Zip Code:

Home Phone:   Work Phone:   Email:

Other Phone Numbers that may be used:

Place of Employment:

Occupation:   Length of Employment:

How long have you lived in the Holland area?

Billing Address if different from above:

First Name:   Last Name:

Home Address:

City:   State:   Zip Code:

Lemon Fresh store you will be using:

Credit Information

Name of Bank:

Branch Location:

Express Bag Order Form:
An Express Bag is a garment bag issued specifically to you.  The bag will be identified as yours and will list how you want us to process your garments.  Simply fill out the form below to receive an Express Bag free of charge.

How would you like us to starch you shirts?

Light Starch
Medium Starch
Heavy Starch
No Starch

How would you like to receive your shirts?

Hang Shirts
Fold Shirts

Special Instructions:

How will you be paying?

Cash
Charge

Press the Submit button when finished or the Reset button to clear the form.