Mobile Car Wash Co-Op Interest Form | CLEAN Carwash Worker Center Powerbase

First Name *

Last Name *

Email *

Phone Number *

Are you a representative of a union or other organization? (check all that apply) *

I am a union staff member

I am employed at an local, city, county, or state organization

None of the above

Union Name

Name of Car Wash

Organization Name

Interested in: (check all that apply) *

Scheduling Monthly Staff Car Wash Day

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Note: Fleet Vehicles can be cars or vehicles that are a part of your represented bargaining units or industries