SET UP YOUR APPOINTMENT

NAME:

ADDRESS:

CITY: STATE: ZIP:

PHONE NUMBER:

NOTE: IF YOU HAVE MULTIPLE TRUCKS AND CARS CHECK AS MANY BOXES AS WHAT YOU WANT DONE. EXAMPLE: IF YOU HAVE 3 TRUCKS AND YOU WANT THEM ALL DETAILED CHECK ALL THREE BOXES IN THE TRUCKS COLUMN.

TYPE OF WASH (CAR): DETAIL $60.00 BASIC WASH$15.00

TYPE OF WASH (TRUCK): DETAIL $70.00 BASIC WASH$20.00

NOTE: YOU MAY NOT GET THE DESIRED TIME AND DATE. I MAY HAVE SOMEONE BOOK FOR THAT TIME AND DATE. ONCE YOU SUMBIT YOUR APPOINTMENT I WILL CALL TO CONFIRM THE TIME AND DATE. IF THE TIME AND DAT IS ALREADY BOOKED I WILL OFEER YOU OTHER TIMES AND DATES.

DESIRED DATE:

DESIRED TIME: