Award winning car wash that excels in customer service!

Belmont Car Wash
521 Trapelo Road
Belmont, MA 02478
Tel: 617-484-9871
Fax: 617-484-2326

Our Hours:
Monday - Saturday
7:00 a.m. – 8:00 p.m.

Sunday
7:00 a.m. – 6:00 p.m.

We accept: American Express, MasterCard,
Visa, and Discover

Purchase Order Form

For every on-line purchase of $ 50.00 you will receive a

Gift Card for $ 10.00

Spend Receive Gift Card for

$ 100.00 $ 20.00

$ 150.00 $ 30.00

$ 200.00 $ 40.00

$ 250.00 $ 50.00

$ 300.00 $ 60.00

$ 350.00 $ 70.00

$ 400.00 $ 80.00

$ 450.00 $ 90.00

$ 500.00 $100.00

(All orders are mailed within 24 hrs. ) *required fields

* Name:		Address:
City:		State:
Zip Code:		Phone:
* Email:		* Credit Card Type:
* Credit Card Number:		* Expiration Date:
DESCRIPTION	PRICE	QUANTITY	PRICE TOTAL
Soft Touch Wash	$9.99
Super Shine Wash	$13.99
Wheel Deal Wash	$14.99
The Ultimate Wash	$17.99
The Belmont Wash	$22.99
COUPON WASH BOOKS (includes 5 wash tickets)
Soft Touch (5)	$39.95
Super Shine (5)	$57.95
Wheel Deal (5)	$61.95
The Ultimate (5)	$75.95
The Belmont (5)	$99.95
FREQUENTLY CUSTOMER CLUB MEMBERSHIP
Soft Touch (6 months)	$219.00
Soft Touch (1 year)	$345.00
Super Shine (6 months)	$319.00
Super Shine (1 year)	$495.00
The Ultimate (6 months)	$395.00
The Ultimate (1 year)	$620.00
The Wheel Deal (6 months)	$350.00
The Wheel Deal (1year)	$575.00
EXPRESS DETAIL PACKAGES
Express Polish	$34.99
Super Interior Cleaning	$34.99
Carpet Express	$34.99
Upholstery Express	$34.99
Leather Cleaning & Conditioning	$34.99
FULL & LUXURY SERVICE PACKAGES
The Big Show	$129.95
Compound, Polish & Wax	$189.95
Polish & Glaze	$159.95

GIFT CARDS
Enter Name:		Enter Amount:
If Gift Card is to be sent to another address other than the address of the person purchasing it		Address:
		City, State, Zip:

* Total Amount: