MYP Form Test

I want to (select from dropdown menu):(Required)

I originally joined unlimited wash club at:(Required)

Please reach out to our Customer Service team at 1-706-938-0991 or submit a request through our Contact Form and a representative will respond to you as soon as possible.

This field is hidden when viewing the form

Hub ID

This field is hidden when viewing the form

QB ID

This field is hidden when viewing the form

Post ID

This field is hidden when viewing the form

Location Name

This field is hidden when viewing the form

Climate Type

this will be hidden - used to set the conditions for the price fields to display

Current Club Plan (select plan):(Required)

Downgrade Plan Instead?(Required)

Yes

Reason for Leaving(Required)

We hate to see you go, but we can help you discontinue. Do you know your Fastpass ID?(Required)

Yes

To Discontinue Your Membership, Please Continue At The Following Link:

Click Here To Discontinue Your Plan

*DISCLAIMER* - this link will open in a new window.

Change Club Plan to (select plan):(Required)

Change Club Plan to (select plan)(Required)

Fastpass ID

11 digit # on your Fastpass sticker on windshield

Name(Required)

Email(Required)

Phone(Required)

Vehicle Make(Required)

Vehicle Model(Required)

Vehicle Year(Required)

Vehicle Color

Last 4 of credit card number(Required)

Do you know your Fastpass ID?

Yes

11 digit # on your Fastpass sticker on windshield

Please visit the Tidal Wave Auto Spa near you to securely update your card info at the Express Pay Terminal kiosk.

Find Your Location

To Update Your Card, Please Continue At The Following Link:

Click Here To Update Your Card

*DISCLAIMER* - this link will open in a new window.