Price LIst Inquiry
You may also print this page and mail in your form with a check to:

Dick Zodikoff, Tameric Realty, 23 Conger Street, Bloomfield, NJ 07003

Type of Membership/Dues Schedule*

Conveyor Carwash $200

Self-Service $100

High-Pressure Automatic/Rollover $100

Detail Shop $100

Supplier/Manufacturer $400

Addition Location $25 each

*Please pay for the highest category and add $25 for each additional location (if you operate two conveyor locations and three self-service locations - not the same site - you shall pay $200 for the first conveyor, plus $100 for the four additional locations).
CARWASH NAME
First Name:
Last Name:
E-mail Address:
Phone Number:

* DayNight
Fax Number:
Mailing Address:
City
State
zip
LIST ALL COUNTIES IN WHICH YOUR CARWASHES ARE LOCATED
TYPE OF LOCATION (CHECK ALL THAT APPLY)
Conveyor Detail Shop
Self-Service Supplier/Manufacturer
Rollover/Pressure Wash
NUMBER OF LOCATIONS
credit card (secured server)
expiration
check enclosed