✓ I authorize Star Brite Car Wash to securely store this payment method on my account
✓ This card will be charged on my regular monthly billing cycle for my active Wash Club membership
✓ Authorization covers my membership, additional vehicles on the account, and one-time purchases (à la carte kiosk extras)
✓ My membership continues on its established billing cycle until I choose to cancel
✓ One wash per registered vehicle per day, weather permitting
✓ No refunds or credits for partial or unused periods
✓ Membership applies only to eligible, registered vehicles
✓ Star Brite Car Wash reserves the right to cancel any membership at any time for misuse or abuse
✓ If my membership lapses for any reason, including payment failure, reactivation will be at current pricing and terms in effect at that time
✓ I can cancel anytime at StarBriteCW.com/cancel or in-store
By submitting and signing this form, I authorize Star Brite Car Wash to charge the payment method provided for my Wash Club membership, including additional vehicles and one-time purchases (à la carte kiosk extras), plus applicable PA sales tax. Star Brite Car Wash reserves the right to cancel any membership at any time for misuse or abuse. I may cancel at any time at StarBriteCW.com/cancel or in-store.