Preferred Customer Program Enrollment / Comments & Questions Form

ONLINE FORM

Use the below form for:

Preferred Customer Card Program Enrollment (Turnpike Car Wash Only)

Comments & Questions

Employment Interest

INTEREST:

Regardless of purpose, please fill out this form completely, including your name, address, and email info.

Preferred Customer Card Program Enrollment
         (Turnpike Car Wash Only -- Details)
Comments / Questions
Employment Interest

LOCATION:
TurnPike Car Wash
Plaza Car Wash
Both locations

NAME:

STREET ADDRESS:

CITY:

STATE:

ZIP:

PHONE NO:

Turnpike Carwash Preferred Customer Card Program Enrollment Section (Details)

BIRTHDAY

VEHICLE 1

Year

Make

Model

Plate No.

VEHICLE 2

Year

Make

Model

Plate No.

Comments or Questions Section

COMMENTS:

This info is confidential and is only for the sole use of Turnpike Car Wash and Plaza Car Wash.
(Only one vehicle per membership.)

Employment Section

  Check here if you wish to be considered for employment?

If you wish to be considered for employment, please fill out your name, address, and phone number above and the following:

Position Desired?
   Part time

   Full Time

Other (explain)

Which location?

  Turnpike Car Wash in Peabody

  Plaza Car Wash in Leominster

E-mail address

Required