Expense Receipt Request

Expense Receipt Request

For Monthly Members
Please use the following form to request a expense reimbursement receipt for your records. Our current point of sale software has unfotunately elminated/discontinued the monthly charge auto email receipt feature so we have developed the following self serve option as a solution. The receipt will be generated and emailed instantly based on the information provided below. You will need to visit this form each month or as needed to request a receipt for your records. We do apologize for the inconvenience as we are work to update our current point of sale to provide a more of an automated solution.

Please note, form has been updated to reflect our recent price increase that went info effect 10/1/2026. If you need a receipt for a charge prior to this, please email below and we will get back to you ASAP!

Info@BuckeyeSuperWash.com

Thank You,

The Buckeye Super Wash Team
Name

First NameLast Name
Email (where you want receipt sent)
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Transaction on Credit Card Statement to match your records:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Membership Level:
Are you Tax-Exempt?
Selected Membership Base Price:(emailed receipt will reflect tax or no tax based on exemption selection)
Please verify that you are human
Tax
Total w/Tax:
Total w/o Tax:
Should be Empty: