ContactUs
Autobell Car Wash
Customer Feedback Form
GeoLocation:
Translate this page:
*
To change the selection press left or right arrow. [Press left arrow]
Yes
To change the selection press left or right arrow. [Press right arrow]
No
Required
1. Your Contact Information
Location:
NA
*Required Fields
First Name
*
Please enter your First Name.
Last Name
*
Please enter your Last Name.
Account Number
Email
*
Please enter your Email Address
Please enter your valid Email Address
Confirm Email
*
Please confirm your Email Address.
Email Mismatch
Phone Number
*
Please enter your valid Phone Number
Please enter your valid Phone Number
Full Address
*
Please enter your full Address
Street Number
Route
Address
*
Please enter your full Address
Apartment, Suite or Unit Number
City
*
State
*
Zip
*
Select a State
Alabama
Alaska
Alberta - Canada
American Samoa
Apo, Aa
Apo, Ae
Apo, Ap
Arizona
Arkansas
British Columbia - Canada
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba - Canada
Marshall Islands
Marshall Islands-
Maryland
Massachusetts
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Montana
N. Mariana Islands
Nebraska
Nevada
New Bruswick - Canada
New Hampshire
New Jersey
New Mexico
New York
Newfoundland - Canada
Newfoundland- - Canada
North Carolina
North Dakota
Northwest Territories - Canada
Nova Scotia - Canada
Nunavut - Canada
Ohio
Oklahoma
Ontario - Canada
Oregon
Palau
Pennsylvania
Prince Edward Island - Canada
Puerto Rico
Quebec - Canada
Rhode Island
Saskatchewan - Canada
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon - Canada
Please enter your City
Please enter your State
Please enter your Postal Code
Please enter valid Postal Code
Country
*
To change the selection press left or right arrow. [Press left arrow]
Yes
To change the selection press left or right arrow. [Press right arrow]
No
Required
Continue to Step 2
2. Car Wash Search
Please select one of the following options:
*
To change the selection press up or down arrow. [Press down arrow]
Specific Store Location - Feedback, questions, suggestions
To change the selection press press up or down arrow. [Press up arrow]
No Specific Store Location - Online Order, General Inquiry, feedback, questions, suggestions
Which Wash Did You Purchase?
*
To change the selection press press up or down arrow. [Press up arrow]
Ride-Thru With No Wipe-Down
Outside Wash Only
Outside Wash & Inside Cleaning
No Service Purchased
When did you visit our Auto Bell?
*
Date:
Visit Date
Hour
Minute
AM/PM
01
02
03
04
05
06
07
08
09
10
11
12
00
05
10
15
20
25
30
35
40
45
50
55
AM
PM
Visit Date
Not sure when I visited.
Search using Zip OR City,State
City
State
Select a State
Georgia
Maryland
North Carolina
South Carolina
Virginia
Zip Code
Car Wash Code
Invalid zip
Search
Hide Map [X]
Please provide all Required information on this page.
Continue to Step 3
3. Tell us about your experience, request or suggestion *
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Commercial/Business Accounts
Question about my Gift Card/Coupon
I found an item from the car wash in my vehicle
Shelter in Place Ordinance
Request for additional information
Wonderful experience
I have a concern
Locate missing/lost item
Alert or safety concern
Telephone issues
I have a suggestion
Required
Required
Required
Required
Required
Required
Required
Required
Please provide all Required information on this page.
Continue to Step 4
3b. Tell us about your experience, request or suggestion *
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Commercial/Business Accounts
Question about my Gift Card/Coupon
I found an item from the car wash in my vehicle
Shelter in Place Ordinance
Request for additional information
Wonderful experience
I have a concern
Locate missing/lost item
Alert or safety concern
Telephone issues
I have a suggestion
Required
Required
Required
Required
Required
Required
Required
Please provide all Required information on this page.
Continue to Step 4
3c. Tell us about your experience, request or suggestion *
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Commercial/Business Accounts
Question about my Gift Card/Coupon
I found an item from the car wash in my vehicle
Shelter in Place Ordinance
Request for additional information
Wonderful experience
I have a concern
Locate missing/lost item
Alert or safety concern
Telephone issues
I have a suggestion
Required
Required
Required
Required
Required
Required
Required
Please provide all Required information on this page.
Continue to Step 4
3d. Tell us about your experience, request or suggestion *
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Commercial/Business Accounts
Question about my Gift Card/Coupon
I found an item from the car wash in my vehicle
Shelter in Place Ordinance
Request for additional information
Wonderful experience
I have a concern
Locate missing/lost item
Alert or safety concern
Telephone issues
I have a suggestion
Required
Required
Required
Required
Required
Required
Required
Please provide all Required information on this page.
Continue to Step 4
3e. Tell us about your experience, request or suggestion *
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Select an item from the list below to tell us about your experience, request or suggestion. This is required.
Commercial/Business Accounts
Question about my Gift Card/Coupon
I found an item from the car wash in my vehicle
Shelter in Place Ordinance
Request for additional information
Wonderful experience
I have a concern
Locate missing/lost item
Alert or safety concern
Telephone issues
I have a suggestion
Required
Required
Required
Required
Required
Required
Required
Please provide all Required information on this page.
Continue to Step 4
4. Please Answer the Following:
Was a claim report completed with the location?.
Was a claim report completed with the location? .
Was a claim report completed with the location?
*
Select an Answer
Yes
No
Required
If Yes, what is the claim number?.
If Yes, what is the claim number? .
If Yes, what is the claim number?
*
Required
Answer must be less than 2000 characters
What was the Team Member's name?.
What was the Team Member's name? .
What was the Team Member's name?
Answer must be less than 2000 characters
How would you like to be contacted?.
How would you like to be contacted? .
How would you like to be contacted?
*
Select an Answer
Call
Email
Required
On what date did you place the order?.
On what date did you place the order? .
On what date did you place the order?
*
Required
Answer must be less than 2000 characters
Do you need a new card issued? (if so, the following questions must be answered).
Do you need a new card issued? (if so, the following questions must be answered) .
Do you need a new card issued? (if so, the following questions must be answered)
*
Select an Answer
Yes
No
Required
Please enter the FIRST and LAST NAME on Annual Pass or Super Card.
Please enter the FIRST and LAST NAME on Annual Pass or Super Card .
Please enter the FIRST and LAST NAME on Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the STREET ADDRESS tied to the Annual Pass or Super Card.
Please enter the STREET ADDRESS tied to the Annual Pass or Super Card .
Please enter the STREET ADDRESS tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the CITY on the Annual Pass or Super Card.
Please enter the CITY on the Annual Pass or Super Card .
Please enter the CITY on the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the STATE on the Annual Pass or Super Card.
Please enter the STATE on the Annual Pass or Super Card .
Please enter the STATE on the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the ZIP CODE tied to the Annual Pass or Super Card.
Please enter the ZIP CODE tied to the Annual Pass or Super Card .
Please enter the ZIP CODE tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the TELEPHONE NUMBER tied to the Annual Pass or Super Card.
Please enter the TELEPHONE NUMBER tied to the Annual Pass or Super Card .
Please enter the TELEPHONE NUMBER tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the EMAIL ADDRESS tied to the Annual Pass or Super Card.
Please enter the EMAIL ADDRESS tied to the Annual Pass or Super Card .
Please enter the EMAIL ADDRESS tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the YEAR of your VEHICLE tied to the Annual Pass or Super Card.
Please enter the YEAR of your VEHICLE tied to the Annual Pass or Super Card .
Please enter the YEAR of your VEHICLE tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the MAKE of your VEHICLE tied to the Annual Pass or Super Card.
Please enter the MAKE of your VEHICLE tied to the Annual Pass or Super Card .
Please enter the MAKE of your VEHICLE tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the MODEL of your VEHICLE tied to the Annual Pass or Super Card.
Please enter the MODEL of your VEHICLE tied to the Annual Pass or Super Card .
Please enter the MODEL of your VEHICLE tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the LICENSE TAG NUMBER tied to the Annual Pass or Super Card.
Please enter the LICENSE TAG NUMBER tied to the Annual Pass or Super Card .
Please enter the LICENSE TAG NUMBER tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
Please enter the STATE on your LICENSE TAG on your VEHICLE tied to the Annual Pass or Super Card.
Please enter the STATE on your LICENSE TAG on your VEHICLE tied to the Annual Pass or Super Card .
Please enter the STATE on your LICENSE TAG on your VEHICLE tied to the Annual Pass or Super Card
*
Required
Answer must be less than 2000 characters
What was the amount charged?.
What was the amount charged? .
What was the amount charged?
*
Required
Answer must be less than 2000 characters
Is it ok for us to contact you via text message? (this may incur a fee from your phone carrier).
Is it ok for us to contact you via text message? (this may incur a fee from your phone carrier) .
Is it ok for us to contact you via text message? (this may incur a fee from your phone carrier)
*
Select an Answer
Yes
No
Required
What is your Order Number?.
What is your Order Number? .
What is your Order Number?
*
Required
Answer must be less than 2000 characters
Has this issue occurred multiple times with your unlimited plan?.
Has this issue occurred multiple times with your unlimited plan? .
Has this issue occurred multiple times with your unlimited plan?
*
Select an Answer
Yes
No
Required
What were the last 4 digits of the card used for this charge?.
What were the last 4 digits of the card used for this charge? .
What were the last 4 digits of the card used for this charge?
*
Required
Answer must be less than 2000 characters
Did you visit a store location and your situation was not resolved?.
Did you visit a store location and your situation was not resolved? .
Did you visit a store location and your situation was not resolved?
*
Select an Answer
Yes
No
Required
Please give the name on the Debit/Credit Card used.
Please give the name on the Debit/Credit Card used .
Please give the name on the Debit/Credit Card used
*
Required
Answer must be less than 2000 characters
Please provide your Unlimited Plan/Card number..
Please provide your Unlimited Plan/Card number. .
Please provide your Unlimited Plan/Card number.
*
Required
Answer must be less than 2000 characters
Please give the Date of the Charge.
Please give the Date of the Charge .
Please give the Date of the Charge
*
Required
Answer must be less than 2000 characters
Please give the Amount Charged:.
Please give the Amount Charged: .
Please give the Amount Charged:
*
Required
Answer must be less than 2000 characters
Please give the Date the charge posted to your account.
Please give the Date the charge posted to your account .
Please give the Date the charge posted to your account
*
Required
Answer must be less than 2000 characters
Please give the last 4 digits of the Credit Card.
Please give the last 4 digits of the Credit Card .
Please give the last 4 digits of the Credit Card
*
Required
Answer must be less than 2000 characters
Please give the Last Billing Date:.
Please give the Last Billing Date: .
Please give the Last Billing Date:
*
Required
Answer must be less than 2000 characters
Please provide all Required information on this page.
Continue to Step 5
5. Please provide additional details about your experience *
Describe your Experience. This is a required field.
Describe your Experience. This is a required field.
Required
2000 characters available
Acceptable file types: JPG, PDF, BMP. File size cannot exceed 10 MB
This service may not be used by anyone under 13 years of age or any citizen or resident of a European Union country.
By continuing, you are affirming that you are 13 years of age or older, and that you are not an EU person.
You are also agreeing to our Terms of use.
Show Errors
[X]
Submit
Please provide all Required information before clicking on Submit.