Report an Incident

BY ENTERING OUR CAR WASH YOU ARE CONSENTING TO OUR MACHINERY COMING INTO CONTACT WITH YOUR VEHICLE

GALAXIES IS NOT RESPONSIBLE FOR ANY DAMAGE TO ANY VEHICLES, INCLUDING BUT NOT LIMITED TO:

Any Antennas
Side View Mirrors
Non Factory Installed Items
windshield wipers
vehicle window breakage
pre-existing damage on your vehicle
scratches to vehicle
any vehicle 10 years or older
bug shields
running boards
spoilers
loose or broken parts
vehicle molding or chrome
luggage/ bike racks
customer negligence
customers not following instructions

Pick Up Trucks

secure any loose items
bed needs to be empty

GALAXIES WILL ONLY ACCEPT RESPONSIBILITY FOR DAMAGES CAUSED BY MALFUNCTION OF OPERATING EQUIPMENT

Name*
First Last
Member ID (if applicable)
*Please Provide Contact Information:
Email*
Phone*
*Date And Time of Incident:
Date*
MM slash DD slash YYYY
Time*

: Hours

Minutes

AM/PM
Vehicle Description:
Make*
Model*
Year*
Color*
Please Describe the Incident:
Please describe the incident*
Please Upload Photos of the Damage:
Photos of damage
Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 256 MB.
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Galaxies will only accept responsibility for damages caused by malfunction of operating equipment.

BY ENTERING OUR CAR WASH YOU ARE CONSENTING TO OUR MACHINERY COMING INTO CONTACT WITH YOUR VEHICLE

GALAXIES IS NOT RESPONSIBLE FOR ANY DAMAGE TO ANY VEHICLES, INCLUDING BUT NOT LIMITED TO:

Pick Up Trucks

GALAXIES WILL ONLY ACCEPT RESPONSIBILITY FOR DAMAGES CAUSED BY MALFUNCTION OF OPERATING EQUIPMENT

*Please Provide Contact Information:

*Date And Time of Incident:

Vehicle Description:

Please Describe the Incident:

Please Upload Photos of the Damage:

Galaxies will only accept responsibility for damages caused by malfunction of operating equipment.