Upgrade Your Single Wash to a Monthly Pass
Try our unlimited washing options to see if it's right for you. We offer a free first month with a purchase of a car wash (which you did). Use this form to take advantage of that offer you declined when you visited us. Your receipt is valid for 10 days to take advantage of this offer. Please fill out the form below so we can find your ticket, and start your first month trial! A credit card is required to register your vehicle. You will NOT be charged at the completion of this form - your first charge will be exactly one month from today, unless canceled easily on our website or in store. This offer is not eligible if you are a previous member of ours, or have already accepted this offer with your license plate/vehicle. If you have any questions, please send us a DM on Instagram or Facebook for a quick response, or email us at mail@starbritecw.com.
CTN Number:*
Please enter the CTN number at the top of your receipt so we can find your purchase.
Date of Wash*
Date at the top of your single wash receipt
Time*

: Hours

Minutes

AM/PM

Time at the top of your single wash receipt.
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Time:*
Time at the top of your single wash receipt
Payment Method*
How did you pay, Cash or Credit?
Last 4 of Credit Card*
Bottom of your receipt, "Account: 1234"
Total Purchase:*
Total on receipt.
Did our female attendant inform you about our trial?*

Wash Unlimited!
Fill out the form below and register the vehicle(s) you want to bring by. Pick up the wash pass when we let you know it's ready and start washing!
Location:*
Was this your first time washing with us?*
Let us know if you are a frequent guest of ours or a first timer - so we know how much you know about our wash process.
I would like..*
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Do you still have your Windshield Sticker still?*
If you have a windshield Sticker still, select YES! Otherwise, we'll create you a new one.
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Windshield Sticker #*

If you still have your windshield sticker, please enter your 7 digit number found on it. (Example, #4105491)
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Enrolling this additional vehicle will add $9.99+Tax ($10.59) per month to your existing account with us.*
I Agree, Let's Continue!
Enrolling this additional vehicle will add $9.99+Tax ($10.59) per month to your existing account with us.
Pick A Wash!
Select Wash Level!*
Can't Decide? SHIMMERING STAR WASH includes our one of a kind 360° HIGH PRESSURE machine that sprays under, over, and all around your vehicle to remove dirt, debris, bugs and pollen (spring summer fall) and salt (winter) each wash. SHINING STAR WASH includes the previous level, plus wheel & rim cleaner, triple foam polish wax (second soap cycle in the wash), Rain-X water repellent (water beads and repels when it rains), and a ceramic sealant to finish you off, to protect your paint and leave a shine. SHOOTING STAR WASH includes everything above, plus carnauba hot wax (third cycle of soap) and tire shine (glossy tire look). While these extras may be bells and whistles, they do make your vehicle look fantastic and your tires stay shiny. You can always change wash levels another month, or buy a la cart what you're not getting day of. Have another Q? DM us on Facebook or Instagram for a fast answer.
Account Holder Information:
Full Name*
First Last
Telephone*
E-mail*

For communication purposes only. We don't spam you.

Vehicle Information
Tell us about the vehicle we're cleaning...
Primary Driver of Vehicle*
First Last
Year*
Make*
Model*
Color*
License Plate State*
License Plate*
Would you like to add an additional vehicle?*
Add another vehicle to your account! You can add as many cars - each is an additional $9.99/month + tax, $10.59. Additional vehicles receive the same wash level as the primary vehicle on the account.
Additional Vehicle
Tell us about this other vehicle...
Primary Driver of Vehicle*
First Last
Year*
Make*
Model*
Color*
License Plate State*
License Plate*
Would you like to add one more additional vehicle?*
Add a third vehicle to your account! Again, you can add as many cars - each is an additional $9.99/month + tax, $10.59. Additional vehicles receive the same wash level as the primary vehicle on the account.
Additional Vehicle
Primary Driver of Vehicle*
First Last
Year*
Make*
Model*
Color*
License Plate State*
License Plate*

Billing Information
This is how we'll charge you every month. You can always change your payment again later.
Payment Type*
We will email you a wallet address to make payment after you submit your application.
Card Number*
*
*
Security Code*

Security Code
Name*

Cardholder Name
Billing Zip/Postal Code*
Wash pass provides one car wash per day, weather permitting. Wash passes are issued for all registered vehicles. Card issued is charged monthly on your anniversary start date. Membership is automatically renewed. Cancel anytime easily online at StarBriteCW.com, or in person filling out a cancelation form. No refunds or credits will be given for partial periods. Only the vehicles registered are eligible for the unlimited wash program. Star Brite Car Wash has the right to cancel membership at any time for any reason, including abuse. You authorize Star Brite Car Wash to bill your provided debit/credit card the monthly (after-tax) total of $21.19 for Shimmering Star Wash, and $10.59 for each additional vehicle. By continuing, this 30-day free trial will start today. You can cancel anytime. Otherwise, we'll charge your preferred method of payment after the trial period has ended.*
I agree to the terms & conditions
Wash pass provides one car wash per day, weather permitting. Wash passes are issued for all registered vehicles. Card issued is charged monthly on your anniversary start date. Membership is automatically renewed. Cancel anytime easily online at StarBriteCW.com, or in person filling out a cancelation form. No refunds or credits will be given for partial periods. Only the vehicles registered are eligible for the unlimited wash program. Star Brite Car Wash has the right to cancel membership at any time for any reason, including abuse. You authorize Star Brite Car Wash to bill your provided debit/credit card the monthly (after-tax) total of $21.19 for Shimmering Star Wash, and $10.59 for each additional vehicle.

By continuing, this 30-day free trial will start today. You can cancel anytime. Otherwise, we'll charge your preferred method of payment after the trial period has ended.
Wash pass provides one car wash per day, weather permitting. Wash passes are issued for all registered vehicles. Card issued is charged monthly on your anniversary start date. Membership is automatically renewed. Cancel anytime easily online at StarBriteCW.com, or in person filling out a cancelation form. No refunds or credits will be given for partial periods. Only the vehicles registered are eligible for the unlimited wash program. Star Brite Car Wash has the right to cancel membership at any time for any reason, including abuse. You authorize Star Brite Car Wash to bill your provided debit/credit card the monthly (after-tax) total of $29.67 for Shining Star Wash, and $10.59 for each additional vehicle. By continuing, this 30-day free trial will start today. You can cancel anytime. Otherwise, we'll charge your preferred method of payment after the trial period has ended.*
I agree to the terms & conditions
Wash pass provides one car wash per day, weather permitting. Wash passes are issued for all registered vehicles. Card issued is charged monthly on your anniversary start date. Membership is automatically renewed. Cancel anytime easily online at StarBriteCW.com, or in person filling out a cancelation form. No refunds or credits will be given for partial periods. Only the vehicles registered are eligible for the unlimited wash program. Star Brite Car Wash has the right to cancel membership at any time for any reason, including abuse. You authorize Star Brite Car Wash to bill your provided debit/credit card the monthly (after-tax) total of $29.67 for Shining Star Wash, and $10.59 for each additional vehicle.

By continuing, this 30-day free trial will start today. You can cancel anytime. Otherwise, we'll charge your preferred method of payment after the trial period has ended.
Wash pass provides one car wash per day, weather permitting. Wash passes are issued for all registered vehicles. Card issued is charged monthly on your anniversary start date. Membership is automatically renewed. Cancel anytime easily online at StarBriteCW.com, or in person filling out a cancelation form. No refunds or credits will be given for partial periods. Only the vehicles registered are eligible for the unlimited wash program. Star Brite Car Wash has the right to cancel membership at any time for any reason, including abuse. You authorize Star Brite Car Wash to bill your provided debit/credit card the monthly (after-tax) total of $37.09 for Shooting Star Wash, and $10.59 for each additional vehicle. By continuing, this 30-day free trial will start today. You can cancel anytime. Otherwise, we'll charge your preferred method of payment after the trial period has ended.*
I agree to the terms & conditions
Wash pass provides one car wash per day, weather permitting. Wash passes are issued for all registered vehicles. Card issued is charged monthly on your anniversary start date. Membership is automatically renewed. Cancel anytime easily online at StarBriteCW.com, or in person filling out a cancelation form. No refunds or credits will be given for partial periods. Only the vehicles registered are eligible for the unlimited wash program. Star Brite Car Wash has the right to cancel membership at any time for any reason, including abuse. You authorize Star Brite Car Wash to bill your provided debit/credit card the monthly (after-tax) total of $37.09 for Shooting Star Wash, and $10.59 for each additional vehicle.

By continuing, this 30-day free trial will start today. You can cancel anytime. Otherwise, we'll charge your preferred method of payment after the trial period has ended.
Signature Please*