Name *

First Name

Last Name

Phone Number *

(###)

###

####

Have you downloaded the app and created an account? *

** You must complete this step before submitting this form.

Yes

No - I need help

Have you entered your credit card information into the app? *

** We cannot activate your account until this information has been entered onto the app under the PROFILE section. We understand that you have already purchased one month of washes at the site - we will add this purchase to your mobile app account.

Yes

No - I need help

Do you prefer Soft-Touch (brushes) or Touchless (no brushes) washes for your subscription? *

Only 1 selection, please.

Soft-Touch (brushes)

Touchless (no brushes)

Totally Touchless (no brushes, hub scrub or tire shine)

Terms and Conditions *

I acknowledge my credit card will be charged each month on the anniversary date. Email receipts will be provided. I can cancel my subscription at any time and can continue to use the remainder of my subscription until the end of the term, at which time my subscription will not be renewed. I acknowledge that when my subscription renews, I will not have access to any unused washes from the previous billing cycle. No credit or refund will be given for partial use in a month. I may upgrade or downgrade my subscription at any time. I acknowledge that this subscription is only valid at the location (s) indicated by the subscription description. The operator reserves the right to cancel, amend or change the subscription from time to time as it deems necessary. Offer is valid during business hours and may not be available due to hour changes, weather, maintenance, or breakdowns.

I accept these terms and conditions