DriWash Solutions: Secure Distributor Application

Wash your vehicle in 20 Minutes or less
"Just Spray it Over the Dirt and Wipe it off!"

Need more info?

Toll free Distributor Direct:
(888)-DRI-WASH

Usage | Dri Wash Opportunity | About Us | Contact Us

...An Independent Distributor for DWG International^TM

Terms and Conditions:

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I have read, understand and agree to the Terms and Conditions
(You must check the box above to enable the "Primary Applicant" field below)
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Please provide the following information:

Fields marked * are Required

Primary Applicant's Name	* You must agree to the terms above to enable this field.
Secondary Applicants Name
Company Name
Street Address	*
Address (cont.)
City	*
State/Province	*
Zip/Postal Code	*
Country	*
Work Phone
Home Phone	*
FAX
E-mail	*
Website URL
Upon Submitting this form, we will contact you via the telephone number above to get: Your credit card information Social Security # or Federal Tax ID #
* Required A registration fee of $59.95 will be charged to your card. Your Social Security or Federal Tax ID # is required so that commission payments can be reported to the IRS. You have the right to cancel this agreement within three business days, regardless of reason, by sending written notice of cancellation to the DWG International Home Office.

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Page Last Updated on: Saturday August 18, 2007