Sign Up for an Unlimited Car Wash Plan

Customer Information

First Name:

Last Name: *

Phone Number: *

Enter your Email: *

Address 1:

Address 2:

State:

City:

Zip:

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Vehicle Information

Year:

Make:

Model:

License Plate Number:

Payment Method

Select payment type : CreditCard

Credit Card information

Credit Card Type : *

Credit Card Number: *

Expiration: *

Security Code:

Name on Card:

Choose Monthly Recurring or Prepaid Account

Select Service Type:*

Prepaid Account
Monthly Recurring Charge

Select Service: *

Price($):

Terms & Conditions

By enrolling in the Monthly Wash Pass Club, I agress that the credit card provided can be charged the amount listed below. I also agree that I wave any and all rights to withhold or delay payment of the related credit card charges, whther as described in my agreement with the credit card issuer or otherwise. Please allow 24-48 hours to process. Cannot be used in conjunction with any other discounts.

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