Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Billing Address

(If different from above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pay by:

Check

Visa

American Express

Mastercard

Dsicover

How often do you want your laundry service

Once a week

Twice a week

Every other week

Is it okay to leave items if you are no home?

Yes

No

In the event of rain, would you like your item left ?

Yes

No

Laundry finish

Standard Finish

Hand Finish

Starch Preference

None

Light

Medium

Heavy

Shirt Preference

Hanger

Box