Name
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First Name
Last Name
Phone Number
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Email
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example@example.com
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(This does not automatically change or cancel your membership and may take up to three business days to process.)
Which membership package do you currently have?
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Package 1
Package 2
Package 3
Package 4
Which membership package do want to change to?
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Special Shine plus Graphene
Shine Ceramics
Shine and Wax
Basics
Make & Model of Vehicle on File
*
License Plate Number
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(No dashes)
How many additional cars would you like to include in your plan?
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List the license plate numbers for additional vehicles
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Reason for canceling
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Don’t wash often enough
Moving/Moved
Service doesn’t meet expectations
Too expensive
Other
Other
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Type reason
Organization Name
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Type of Organization
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Please tell us about your organization and campaign:
Number of Cars
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Select the type of fleet
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Auto Sales
Vehicle Rentals
Other
Upload Resume
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Browse Files
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Choose a file
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of
Tell us a little bit about you
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Do you have any car wash experience?
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Yes
No
Tell us about your previous two employment experience
*
Availability (Select all that apply):
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Full-time
Part-time
Weekdays:
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Mornings
Afternoons
Evenings
Weekends:
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Mornings
Afternoons
Evenings
Message:
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