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2015
January
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The Car Care Club Application Form
The Car Care Club Application Form
The Car Care Club Application Form
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The Car Care Club is an exclusive hub for Car Care to experience quality Car maintenance services at reasonable prices with a 2 year guaranty. You can rest assured that your car is the right place and in the right hand.
*
First Name
:
*
Last Name
:
*
Phone
:
*
Email Address
:
*
Do you own a car?
Yes
No
Not yet but I'm planning to get one soon
How many cars do you own?
1 Car
2 - 4 Cars
Over 4 Cars
Not just yet
*
How would you like us to help you?
I need help with car body maintenance.
I need help with car paint jobs.
I need help in getting good prices for my car body maintenance and paint jobs.
Has you car ever been dented or involved in an accident?
Yes
No
Not really
Other
How often do you paint your car?
Once every year
Once every 2 years
Once every 4 years
Never
Have you ever been duped by roadside painters?
Yes
No
*
Would you like to enroll into the Car Care Club for FREE?
Yes
No
Not sure
© Copyright 2014. Alpha Auto Refinishes Ltd. All Rights Reserved
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