800-292-2341

EXQUISITEMAD® accepts a limited number of projects per quarter. Completing this form initiates our private-client evaluation process. All information is kept confidential and used solely to determine project eligibility.

SECTION 1 — CLIENT PROFILE

Full Name Personal Guarantor / Company Name / Government Organization*
Primary Phone*
Your Email*
City, State, Country, and or Airport Code of the Location where Services are to be provided *

SECTION 2 — CLIENT VERIFICATION (for Individuals and Companies & Organizations)

Have you and or your company or organization previously contracted premium detailing or polishing services?
YesNoN/A
Other than the asset(s) for which you are requesting services, do you and or your company currently own, or previously owned or leased, any premium-trim, luxury, classic, exotic, heritage or specialty automobiles, boats, aircraft, RV, Big Rig, Bus, Vintage Trailer, or agricultural (farm) equipment?
YesNoPrefer Not To AnswerN/A

SECTION 3 — PROJECT SCOPE

Type of project
Auto DetailingAviation DetailingMarine DetailingMetal PolishingBig Rig Tanker Detailing / PolishingFilm / Movie Car Detailing SourcingCeramic CoatingTraining / IP LicensingHeritage Automobile PreservationOther

Has the asset been maintained in the last 12 months, or neglected?
MaintainedNeglected

Preferred completion window
As soon as possibleWithin one monthWithin the next 3 monthsExploring options / Not urgent

Age of Asset(s)
Modern (2015–Present)Contemporary (2005–2014)Classic (1980–2004)Vintage (1946–1979)Heritage / Antique / Pre-War (1945 and earlier)

Project Budget
Under $500$500–$2K$2K - $5k$5 - $12k$12k - $25k$25k - $150K$150k - $1mPrefer Not To Answer

SECTION 4 — FINAL SCREENING

I acknowledge that I have reviewed EXQUISITEMAD®’s proprietary service rates and understand that all travel-related expenses are separate and billed in addition to the quoted service rates.
YesNo
Interested in third-party Synchrony financing (subject to approval, terms & conditions)?
YesNo
Do you and/or your company have insurance coverage for the asset(s)?
YesNo
Are you and/or your company the titled owner of the asset(s)?
YesNo
Preferred payment method
Bank (ACH / WIRE)Synchrony (Third Party Financing Subject to terms and Approval)Credit Card

SECTION 5 — SIGNATURE & ACKNOWLEDGMENT

By submitting, I confirm the information provided is accurate and that I have read and understood EXQUISITEMAD®’s published service prerequisites, including payment options, asset-condition disclosures, and travel expense policies. This submission serves as an electronic acknowledgment under the U.S. E-Sign Act (15 U.S.C. §7001).

Name / Title*

I consent to the processing of my information for the purpose of service qualification.
All data is confidential and governed under Florida Law.

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