1. Unlimited Plan
2. Customer Information
3. Vehicle Information
4. Checkout

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Monthly Recurring Charge

Plan *

Price
$0
$0	First Month Discount (special pricing applicable)
$0	Tax
$	Total

I Agree to the Terms & Conditions *

By enrolling in Clean Machine Car Wash's Unlimited VIP PASS, I have agreed to have my credit card/ACH information automatically billed on the monthly anniversary date for the amount due for the plan I have chosen. I waive any and all rights to withhold or delay payment of the related charges. Once enrolled, I will be charged each month on the same numbered day that I first enrolled on. Cancellation of this program, may be done by giving written notice at least 7 days prior to the billing date

You must agree before going further.

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Last Name *

Phone Number *

Email Address *

Address 1*

Address 2 (Optional)

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City

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Year *

Make *

Model *

Licence Plate Number *

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Credit Card

Credit Card Type *

Credit Card Number*

Name On Card*

Expiration Date*

Security Code*

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Account Number *

Routing Number *

Order Details

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Vehicle
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Subscription
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$	First Month Discount
$	Tax
$	Total

Sign Up for an Unlimited Car Wash Plan

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