Washme
Washme
Premium Mobile Car Wash
San Jose, California
Eco-Premium Products โ€ข Certified Technicians โ€ข At Your Door
877 Commercial St, San Jose, CA 95112  |  (669) 343 2401
Service Record #
WM
๐Ÿ“… Service Date
๐ŸŸข Start
โฑ Duration
00:00:00
๐Ÿ End
๐Ÿ”ง Technician
Not set
๐Ÿ‘ค

1. Customer Information

Full Name:
Phone:
Email:
Address:
๐Ÿš—

2. Vehicle Information

Make:
Model:
Year:
Color:
License Plate:
Vehicle Size:
โœจ

3. Service Selection & Pricing

SelectSizeCommon ModelsOne-TimeMembership/washYou Save (3x/mo)
SMALLHonda Fit, Mini Cooper, Yaris$55$50$15/month
MEDIUMHonda Civic, Toyota Corolla$70$60$30/month
LARGEHonda CR-V, Toyota RAV4$100$85$45/month
XL / SUBChevrolet Suburban, Yukon$110$90$45/month
Service Type:
โš ๏ธ

4. Vehicle Condition BEFORE Service

Check all pre-existing conditions before service begins:

โ˜Conditionโ˜Condition
Visible scratchesVisible dents
Existing interior stainsOther damage observed
Paint chips / oxidationCracked windshield
Rust spotsMissing / loose trim
Additional notes:
๐Ÿ“ท Vehicle Photos โ€” BEFORE Service
โœ…

5. Quality Control โ€” AFTER Service

โœ“Quality Itemโœ“Quality Item
Exterior washed & driedInterior vacuumed & wiped
Windows cleaned (in & out)Tires & rims cleaned
Dashboard & console wipedDoor jambs cleaned
Final inspection completedService photos taken
Customer satisfiedAll add-ons completed
Technician notes:
๐Ÿ“ท Vehicle Photos โ€” AFTER Service
โž•

6. Add-On Services

๐Ÿš— Exterior Add-Ons
$25
$85
$20
$20
๐Ÿช‘ Interior Add-Ons
$25
$10
$15
$15 per seat
$80
$40

โš  All selected add-ons are confirmed and approved by the customer at the time of signing.

Base Service$0
Add-Ons Total$0
Add-Ons Selected0 items
Service Typeโ€”
๐Ÿ’ฐ Total Due$0
๐ŸŽ

7. Referral Rewards Program

Share ยท Save ยท Earn
Tier 1 โ€” Instant Reward (Starts with Your First Referral)
Give $10 ยท Get $10

Share your code with a friend. They get $10 off, you get $10 credit on your next visit.

Referral Name:
Phone:
๐Ÿ”ง

8. Technician Signature

Technician Name:
Employee ID:
โœ Draw signature below:
Sign using your finger or mouse
๐Ÿค

9. Customer Approval & Signature

By signing below, I confirm that the service has been completed to my satisfaction and I approve the charges indicated above.
โœ Customer signature:
Sign using your finger or mouse
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