Monthly Maintenance Application

Monthly Maintenance Application
----- 6/15 slots filled -----

2 full service Detailing's a month for a simple $140

Member Perks
- "Free Exterior Polishing"
- "Free 9 year Ceramic Coating"
- "Interior Scent Bomb Each Service"
- "Priority services"
- "24/7 support"
How did you hear about us?*
More Information

Personal Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com

Vehicle Information
Vehicle Year/Make/Model*
Ex: 2024 Mercedes GT
Does the Vehicle have any of the following?*

Ceramic CoatingPPFVinyl WrapAfter market WheelsOther
Length Of Vehicle Ownership*
How often is the vehicle Serviced*
Have we Serviced your vehicle in the past*

YesNo
Why should your vehicle be accepted into our exclusive maintenance program

Signature
"I understand if admited, this program is a limited offer provided by DinoDetailing and requiers a 5 month comitment to maintaining the presitine condition of my vehicle. In return I will recive the benifits listed below"

- "2 Montly Services"
- "Free Exterior Polishing"
- "Free 9 year Ceramic Coating"
- "Interior Scent Bomb Each Service"
- "Priority services"
- "24/7 support"
Providers Signature
Clients Signature

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