Cancellation | Rocket Car Wash

IMPORTANT: You must cancel at least 7 days before your billing date in order to avoid being charged for another month. Submitting this form does NOT confirm a cancellation. You must speak with a representative in order to process this cancellation.
Name:*
First Last
Email:*
Phone:*
Location: (select from list below)*
Member ID OR License Plate*
Last 4 Digits on Your Credit Card:*
Please enter a number from 0000 to 9999.
Reason For Cancellation:*
Acknowledgment*
- I understand that this form is a request only and does not automatically cancel my membership.
CAPTCHA

IMPORTANT: You must cancel at least 7 days before your billing date in order to avoid being charged for another month. Submitting this form does NOT confirm a cancellation. You must speak with a representative in order to process this cancellation.