Membership Cancellation Form | Supersonic Express Car Wash

Note: Cancellation must occur 7 days prior to the next billing date

Name*
First Last
Email*
Phone*
RFID (Sticker) Number*

Note: This number may or may not include a plus (+) sign. If you don’t have the RFID number please include the first five and last four digits of your credit card. Example: 12345x6789
Location*
City State
Reason for Cancellation*
If you selected Other above, please let us know the reason for cancellation*
Suggestions or comments:
Communication
I Authorize use of my email to receive future coupons and offers from Car Wash USA Express
Consent*
I Authorize cancellation of my membership

Pass Cancellation Form