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Pass Cancellation Form
Pass Cancellation Form
Supersonic Car Wash
2021-05-21T20:33:07+00:00
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Reason for Cancellation
*
Moving
Don’t wash more than 1x per month
Too expensive
Vehicle in shop
Vehicle sold
Seasonal Use
Unhappy with quality or service
Cancel after promo period
Financial reasons
Other
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
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