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Dazzle VIP Club

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The Dazzle VIP Club is free to join and offers the following amazing benefits:

Join the Dazzle VIP Club today!

Fill out this simple form and we will create YOUR DAZZLE VIP CLUB ACCOUNT today

Attention Customers: You must fill out every section of this form. This membership may be used by anyone in your family and for any car you own. We now track VIP members by your vehicles license plate. Your license plate must be registered in our system to be eligible for the discounts. It is important that you list ALL license plates that will be used with this VIP Club plan

Company Name:
Email Address*:
Phone Number*:
Street Address*:
Zip Code*:
Vehicle Make*:
Vehicle Model*:
Vehicle Year*:
Vehicle Color*:
Please list ALL of your vehicles license plate numbers **For specialty plates enter all characters from top to bottom, left to right:
Do you have more than one car? If yes, how many?*
Will you be the only user of the card? If not, please list other names.*
How often you do you have your car washed?*
Comments, Suggestions, Notes:
* Required fields