EmailMe Form - Appointment Sheet

Company / Wash Location /Date of Service *

If you make an appointment after 6pm the day before your appointment please print out a copy of your confirmation to give to the onsite detailer.
Name *
First Last
Work Email *
Work Phone
### - ### - ####
Cell Phone *
### - ### - ####
Make *
Model *
Color *
License Plate *
Type of Service and Price *
Additional Services
Drop Off Time *
Pick Up Time *
Other Notes
Reminder
1. Please print out your appointment confirmation and put on the dashboard. Take the car key with you and leave the car unlocked. 2. Take your valuable possessions away with you.
* Gratuity greatly appreciated here if you cannot give onsite.
* For service quality issues, please call 888-246-1385 or email cs@sitelerinc.com within 2 hours.
Tips *
$ Dollars . Cents
Anyone referred Siteler to you?
Please leave your referrer's email here so he/she will get car wash credit.
Receive on site reminders?