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Luxury Mobile Auto-Detailing Request Form

Your Information

Name *

Phone Number*

Single choice*

Text

Call

Both

About Your Vehicle

What type of vehicle(s) do you have? (make, model, year)*

Have you had your vehicle detailed before?*

Yes

If yes, when was the last time your vehicle was detailed and is it something you regularly have done?

What is the current condition of your vehicle(s) from 1 (least satisfied) to 10 (most satisfied)*

Do you have any specific concerns about the interior or exterior of your vehicle(s)?

What service(s) are you looking for?

Basic Wash & Wax (exterior only)

Basic Detail (interior only)

Step-up From Basic (exterior only)

Step-up From Basic (interior only)

Make Her Shiny (exterior only)

Back From The Dead (interior only)

Back From The Dead (exterior only)

Polihale Bombahz (interior & exterior package)

Are you wanting to add-on any of our specialized service(s)?

**all prices vary based on condition

Upload Images of Your Vehicleʻs Interior & Exterior

Appointment Information

Preferred Days*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred Time Slot*

Morning (7am - 11am)

Midday (12pm - 3pm)

Afternoon/Evening (3pm - 7pm)

Which area of the island are you located in?*

Will there be access available to a covered area to complete the mobile detail? *

Yes

Will there be access to electricity and running water to complete the mobile detail?*

Yes

Additional Information or Questions

**Please Note: A deposit is required to secure your appointment. In the event of a cancellation, full payment may still apply.

We appreciate your respect for our time and services.

Aloha Toyota Classics

(808) 631-5544

alohatoyotaclassics@gmail.com

P.O BOX 1281

KILAUEA, HI

96754

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