2017 Service Request Form
Reservation - Detailing
Reservation - Paint / Body Repair
Reservation - Detailing + Inspection Estimate - Paint / Body Repair
Inspection Estimate - Paint / Body Repair
Inspection Estimate - Detailing (req'd for Special Event)
Special Event (4+ vehicles)
Customer First and Last Name
Enter the first and last name of the party being served.
Customer Phone Number
Enter the best number where the customer can be reached for the reservation.
Customer Email Address
Enter the best email address where the customer can be reached for the reservation.
Choose the medium from which you discovered us.
Solicitation - DSF
Solicitation - Phone
Voucher - PMD Internal
Voucher - Discount Website
GACED apprentice name, club member name or deal being claimed.
Third Party Venues
PMD operates in partnership with the gas stations listed below.
**Mobile Service Preferred**
21040 Henderson Corner Road, Germantown, MD
1250 South Crain Hwy, Glen Burnie, MD
6321 Annapois Road, Landover Hills, MD
1904 Urbana Pike, Clarksburg, MD
6354 Dubbon Road, Columbia, MD
40 East Timonium Road, Timonium, MD
1926 West Street, Annapolis, MD
6161 Arlington Blvd, Falls Church, VA
14701 Baltimore Ave, Laurel, MD
15211 South Frederick Road, Rockville, MD
5105 Indian Head Hwy, Indian Head, MD
2030 Crain Hwy, Waldorf, MD
3080 Solomons Island Road, Edgewater, MD
21101 Frederick Road, Germantown, MD
8121 Old Dominion Drive, McLean, VA
5919 Greenbelt Rd, College Park, MD
1020 Michigan Ave NE, Washington, DC 20017
Front Yard Driveway
Enter customer street address.
Customer City, State
Enter customer city and state.
Customer ZIP Code
Enter customer ZIP Code.
Select the applicable where the service will be executed.
Area 1: Montgomery, Frederick County
Area 2: District of Columbia, Prince George's County
Area 3: Charles (MD), Fairfax, Arlington, Alexandria City, Prince William County
Area 4: Howard, Baltimore County
Select the date and time of the desired appointment.
Select desired date of the appointment.
Select desired time of the appointment.
Next Available Slot
Select the appropriate service needed to accommodate your appointment.
FE - Mobile Fare (<20 mi.) $10.00 +
FE - Extended (> 20 miles from 20782) Service Area Fee $20.00
FE - Chauffeur Service (> 5 mi.) $10.00 +
Job No. 1 Specifications
Vehicle No. 1 Type
Enter the vehicle year, make, and model. For example: 2014 Toyota 4Runner
Vehicle No. 1 Pet Hair
FE - Pet Hair Removal--Sedan (Duration: 45 min.) $25.00 +
FE - Pet Hair Removal--Sm. SUV (Duration: 60 min.) $35.00 +
FE - Pet Hair Removal--Lg. SUV (Duration: 75 min.) $45.00 +
FE - Pet Hair Removal--Minivan (Duration: 90 min.) $55.00 +
No Pet Hair Removal
Vehicle No. 1 Associated A La Carte Service(s)
ALC - Add'l Mats (Duration: 5 min per mat) $5.00/per mat
ALC - Turtle Wax Application (Duration: 50 min.) $50.00 +
ALC - Clay Bar Treatment (Duration: 50 min.) $15.00
ALC - Adhesive Removal (Dependent of area affected; "")
ALC - Engine Clean & Shine (Duration: 30 min.) $30.00 +
ALC - Inspect Belts & Hoses (Duration: 20 min.) $20.00 +
ALC - Battery Clean (Duration: 10 min.) $15.00 +
ALC - Clean Vents & Defroster (Duration: 15 min.) $20.00 +
ALC - Inspect Wiper Blades (Duration: 15 min.) $20.00 +
ALC - Exterior Wash and Buff (Duration: 45 min.) $50.00 +
ALC - Rim, Hubcaps, Tires Clean and Shine (Duration: 20 min.) $25.00 +
ALC - Baby Seats Cleaned (Each) $15.00
ALC - Bio Hazard Removal (Duration: 90 min.) $30.00 +
ALC - Interior Ceiling Clean (Duration: 20 min.) $30.00 +
ALC - Vinyl & Cloth Spot Treatment (Duration: 60 min.) $75.00 +
ALC - Carpet and Mats (Duration: 30 min.) $50.00
ALC - Dashboard & Compartments Clean and Shine (Duration: 25 min.) $30.00 +
ALC - Air Freshener (Duration: 2 min.) $5.00 +
ALC - Door Jambs Clean & Shine (Duration: 15 min.) $20.00 +
ALC - Windows Cleaned (Duration: 10 min.) $10.00 +
Vehicle No. 1 Associated Detail Package Service(s)
Qc - Interior Quick Clean (Duration: 10 min.) $15.00 +
Qc - Exterior Quick Clean (Duration: 20 min.) $15.00 +
Qc - Complete Quick Clean (Duration: 30 min.) $25.00 +
Pm - Complete Premium Detail (Duration: 120 min.) $120.00 +
Pm - Interior Premium Detail (Duration: 75 min.) $75.00 +
Pm - Exterior Premium Detail (Duration: 75 min.) $75.00 +
Ul - Complete Ultimate Detail (Duration: 150 min.) $150.00 +
Ul - Interior Ultimate Detail (Duration: 90 min.) $90.00 +
Ul - Exterior Ultimate Detail (Duration: 90 min.) $90.00 +
Job No. 1 Complete
If no other jobs specs are scheduled or requested, click Continue at the bottom of the form until the Submit icon appears.
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