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Richies Carwash Membership Cancellation Request Form
1
Date
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Date
Month
Day
Year
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2
Name
*
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First Name
Last Name
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3
Customer Sticker Number
*
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The number on your window sticker
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4
Phone Number
*
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5
Email
*
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example@example.com
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6
What would be the single biggest improvement Richie's Car Wash could make to provide a great carwash experience, in your opinion?
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7
Signature
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