Whitmar Shine Mobile Detailing Customer Information Form Customer Name: __________________________ Date: _________________ Contact #: ______________________ Vehicle Year: ______ Make: ______________________ Model: _____________________ Vehicle Class: (Please circle): Car, Truck, SUV, Van Selected Packages Custom Wash: Car $35 Truck $45 SUV $55 Van $65 Consist of our Signature wash, Bug removal, Tire shine, Rim cleaning, Interior vacuum, Dashboard wipe down, Interior window cleaning, Air freshener (VIP CUSTOMERS ONLY) Claybar & Carnauba Wax: Car $75 Truck $85 SUV $100 Van $120 Consist of our Signature wash, Surface prep clay to remove all pollution and surface contaminants to make painted surfaces smooth as glass, Waxed with Carnauba Premium Paste Wax Interior Detail Car $80 Truck $100 SUV $120 Van $150 Consist of Interior vacuum to include truck, Leather cleaning & Conditioning, Carpet & Upholstery Cleaning, Headliner cleaning, Clean & Condition all vinyl surfaces, Interior window cleaning, Pet hair removal, Air freshener Full Premium Detail Package Car $150 Truck $180 SUV $200 Van $220 Consist of our Signature wash package, Claybar, Premium Carnauba wax, Wheel well, Tire and Rim Cleaning, Upholstery shampoo & cleaning, Leather cleaning & conditioning, Clean & Condition all vinyl surfaces, Headliner Cleaning, Steering Wheel Cleaning, A/C Vent Cleaning, Vacuum Truck, Clean Door Jambs & Gutters, Clean & Condition all runners, Interior & Exterior window cleaning, Pet hair removal, Floor mat cleaning, Air freshener Additional Services ** Over Excessive Dirt/Stain Charge – $40 ** Which may require extra labor & chemicals Headlight Restoration $20 per headlight Scratch Removal Quoted after vehicle is inspected Fabric Seats (Only) $30 per row Leather Seats (Only) $40 per row Hard Water Spot Removal Quoted after vehicle is inspected Quoted Price:_______ THANK YOU FOR CHOOSING WHITMAR SHINE FOR YOUR VEHICLE’S CONDITIONING The keys must be rendered to the detailer for possible movements for a thorough detail Please ensure all item are out the vehicle before the detail begin. Whitmar Shine will not be responsible for any missing items. You will be notified once the detail is completed to contact number provided. If agreed, please sign: __________________________________________ We Accept