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First Name

Last Name

Community

Sub-Division

Address

Address Line1

Street address, P.O. box, company name, c/o

City

Postal / Zip Code

Phone

Please remind me the day before pick-up via

Text Message

How did you hear about us?

Pick-up and Delivery Locations

Please indicate the best place for us to check for pick-ups and make deliveries. To facilitate delivery, we provide complimentary door hangers.

Pick-Ups

Front Door

Other

Deliveries

Front Door

Back Door

Side Door

Garage

Other

Laundry Options/Preferences

Prices are subject to change without notice.

Starch Preference

None

Light

Medium

Heavy

Alteration Instructions

Alteration Details

Alter Only

Alter & Dry Clean

Special attention given to household items:

Drapes, upholstery items, comforters, blankets, sleeping bags, pillow shams, tablecloths, napkins and place-mats/rugs

Payment Options

Please select your preferred method of payment.

Credit Card (I prefer to pay by credit card automatically. Please charge my card for services provided.)

Check (I prefer to pay by check on a monthly basis. Please email me an e-statement each month.)

Credit Card Option

If you wish to pay by credit card automatically, you can input your information below or call us at (561) 445-1163. Thank You!

Card Number

Full Name on Card

Expiration Date

Card CVC (3 digits back of card)

Is CC address the same as Delivery and Pickup address? If not please input address:

Comments

Additional charges may apply to non-standard items including, but not limited to, evening gowns, couture gowns and dresses, non-standard shirts (polo shirts, slim fit shirts, shirts with snap buttons, blouses), special fabrics (silk, velvet, linen, leather/suede), beading, sequins.
Please CONTACT US if you have any questions.

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