Services Sign-Up Form
Monthly Unlimited Car Wash Memberships or WASH ME VIP Loyalty Program
Email address
First Name
Your answer
Last Name
Your answer
Cell Phone
Your answer
Email
Your answer
Service Choice:
(Please note, monthly memberships require a credit card and are auto-charge monthly unless you cancel, Also, we provide a window label/barcode that needs attached to your vehicle. We will provide this once you stop in to complete the sign-up process)
NOTICE: AFTER YOU HIT SUBMIT, WE WILL CONTACT YOU TO COMPLETE THE SET UP IN 1-2 BUSINESS DAYS. You will then need to stop in to complete the process. (WE WILL NOT SELL YOUR INFORMATION. IT WILL ONLY BE USED BY BUCKEYE SUPER WASH)
Required
What is 19 - 4?
Robot check.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms