Membership Request

Select Wash Package
Wash Package:
	Desoto Wash plus Interior Vacuum, Windows, Dash & Console
First Month:	$35
Following Months:	$60
Personal Information
First Name:
Last Name:
Phone Number:
E-mail Address:
Vehicle Information
License Plate:
Year:
Make:
Model:
Color:
Card Information
Card Number:
Exp Date:
Name on Card:
Security Code:
Billing Zip Code:
Agreement
I understand my card will be charged based on the wash package I selected, and I allow Desoto Carwash process the payment. I understand the first month's membership fee is same amount as the one time wash package amount and the following amount will be the full amount of the monthly membership fee based on the packages listed here in this Membership Request page.

Select Wash Package