B2B Enrollment Form

Thank you for participating in the Liquid Highway Car Wash Business to Business (B2B) benefits program. The B2B program is a benefits program that is only offered to approved businesses and current employees. To enroll, complete/submit the following Enrollment form, which takes approximately two business days to process.

During your next visit at Liquid Highway, simply inform any employee about your enrollment. You will receive a B2B members only wallet discount card and a bar code for the registered vehicle that will not only provide you with membership discounts, but will expedite our services. After enrolling you will be qualified to receive the following benefits.

• Free Birthday Wave Wash (I.D. required)
• $5 Anytime Wave Wash
• $1 Off any wash, any time (Wave Wash excluded)
• $2 Off any Express Service
• $5 Off any detail
• $30 Hand Wax (prep. charges may apply)
• $20 Off Maui Detail
• 8th Wash Free
  

Personal Information

First Name:

Last Name:

Your Phone Number:

Employer:

Your Email Address:

Vehicle Information

Vehicle Year:

Vehicle Make:

Vehicle Model:

Vehicle License Plate:

Word Verification:

Letters are not case sensitive