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Site Select Intake Form

Car Wash / Company Name*

Main Contact

Name*

First Last

Email*

Locations, include full address and any applicable clarifications (i.e. northeast corner of lot, west of gas station, etc.)

Image identifying land parcel (Highlighted Map/Screenshot, Site Plan, etc.)

Max. file size: 256 MB.

Expected changes to existing location (removal of structures/buildings/trees, addition of entrance, median split, stop light, etc.)

Nearby development being planned/built (Retail, Housing, etc.)

Competitor locations being planned or built nearby?

Any concerns or insights about the location/area that would not be apparent if not present at the location?

Additional Insights on Location?

Max. file size: 256 MB.