Company Information:
E-mail address:
Date:
Company Name:
Contact Person:
Wash Location / Address:
Phone number:
Referred by (If Applicable):
Web Site Address (If Applicable):
Wash Specifcations: Please select the type of wash application from the drop down menus, for us to develop an accurate quote.
Vehicle Cleaning:
Fleet Size
1-5
5-10
10-20
20-30
30-40
40-50
50-60
60-70
70-80
80-90
90-100
100-200
200+
Transportation Vehicles
12' Straight Trucks
14' Straight Trucks
16' Straight Trucks
18' Straight Trucks
20' Straight Trucks
22' Straight Trucks
24' Straight Trucks
22' Trailers
32' Trailers
45' Trailers
48' Trailers
53' Trailers
Flat Bed Trailers
Sleeper Tractors
Day Cab Tractors
Aluminum Tankers
Stainless Tankers
Steel Tankers
Pick-Up Trucks
Utility Vans
cars
Building Cleaning:
Building Sizes in Sq.'
Less than (1,000 Sq.')
(1,000 Sq.') - (2,500 Sq.')
(2,500 Sq.') - (5,000 Sq.')
(5,000 Sq') - (10,000 Sq')
(10,000 Sq') - (15,000 Sq')
(15,000 Sq') - (20,000 Sq')
(20,000 Sq') - (25,000 Sq')
(25,000 Sq') - (50,000 Sq')
(50,000 Sq') - (100,000 Sq')
(100,000 Sq') - (250,000 Sq')
250,000 Sq'+
Concrete Cleaning:
Concrete in Sq.'
Less than (1,000 Sq.')
(1,000 Sq.') - (2,500 Sq.')
(2,500 Sq.') - (5,000 Sq.')
(5,000 Sq') - (10,000 Sq')
(10,000 Sq') - (15,000 Sq')
(15,000 Sq') - (20,000 Sq')
(20,000 Sq') - (25,000 Sq')
(25,000 Sq') - (50,000 Sq')
(50,000 Sq') - (100,000 Sq')
(100,000 Sq') - (250,000 Sq')
250,000 Sq'+
Prefered Type of Cleaner to be used:
Type of Cleaner to be used
Normal Cleaner
Aluminum Brightener
Extreme Degreasers
When would you prefer to be contacted?
Preferred Contact time
9:00 am - 12:00 pm
Lunch Hour
1:00 pm - 5:00 pm
5:00 pm - 7:00 pm
7:00 pm - 9:00 pm
Will there be a need for water recovery?(What is water recovery?)
Yes / No
Yes
No
Comments / Special Instructions:
Thank you for taking the time for filling out our online Quote Form, For your convenience, we will contact you at the specified time above, A.S.A.P
