Laundry24-7.com sign up form

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Sign Me Up Form

* indicates required fields

*Today's Date:

*Last Name:

*First Name:

*Billing Address:

*City:

*Zip Code:

*Home Phone:

Work Phone:

Fax Number:

*e-mail address:

How did you hear about our company?:

Pick up my laundry every:

Monday and Thursday
Monday
Thursday
I'll call 866-922-5257 to schedule.
I'll e-mail pickmeup@laundry24-7.com to schedule.

*I like starch in my shirts:

None
Light
Medium
Heavy

*Please return my shirts:

On Hangers
Folded

How will you pay for services?:

Please send me a credit card release.
E-mail my total and I will pay the driver.

*Delivery Address:

*Delivery City:

*Delivery Zip Code:

Laundry24-7.com
37820 M-40 Highway, Post Office Box 404, Paw Paw, MI 49079
Phone (269) 615-0266
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