Prowash Online Shop Membership Form

Joining our Prowash Online Shop enables you to find product codes, pricing, or simply browse our stock range and submit your order directly to our Customer Service team. 

All online orders will be processed against your 30 day trading account and freight will be calculated as per our standard trading terms.

Please note, you must have a 30 day trading acount with Prowash to become an Online shop member. Please click here to contact us regarding trading accounts.

If you would like to become a member of our online shop, please complete the form below and a customer service representative will contact you shortly.

User Information

Name : Email Address :

Account Details

Carwash Name:
Account Number:
Site Address:
Site Ph #:
Position:

Personal Details

First Name:
Surname:
Mobile #:
Email Address:
Password (min 4 characters):

E-mail communication

Do you authorise us to contact you by email?
Yes No

Type captcha: