Intake Form Name * First Name Last Name Phone * (###) ### #### Email * How did you hear about us? * Google/Internet search Facebook Personal Referral Public Flyer Other Please state the color, year, make, and model of the vehicle(s) being detailed. * Example: White 2017 Ford Expedition Where will the vehicle(s) be located for the detail service? * Address 1 Address 2 City State/Province Zip/Postal Code Country Where will the keys be located for the vehicle(s)? * Does your car have any of the following? * (Please select all that apply) Mild Pet Hair Excessive Pet Hair Mild Stains Excessive Stains Mild Food/Drink Spills Excessive Food/Drink Spills Other Grime or Build-up not Listed None of the Above If pictures are requested, do you consent to sending pictures of your vehicle? * Yes, I will upload them on this form Yes, I will text them No Not applicable/Pictures were not requested Use this textbox for any additional information. (any helpful information regarding vehicle, driveway, location, etc.) Thank you!
