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Customer Information
(Required fields in red)
Name
Address
City
State
ZIP
Delivery Address
(if different)
Home Phone
Work Phone
Email address
Drycleaning Preferences
Starch preferences
Heavy
Medium
Light
None
Shirt Preferences
Hangers
Folded
Special Handling
(give instructions below)
Method of Delivery
Knock on door: delivery only if customer is home
Knock on door: Deliver as designated if customer is not home
Deliver as designated
The customer hereby authorizes StanLey Cleaners to charge the Customers' account balance which is unpaid by the last day of the month following a billing cycle to the above designated account. The Customer will be furnished with a copy of the credit card receipt.
I understand StanLey Cleaners will contact me by phone to obtain a valid credit card for security purposes, and that I will provide this information to complete my application and account setup for free pickup and delivery.
I agree that charges on my account for cleaning services will accrue on a monthly basis, and the total will be automatically billed to my credit card on the first of the following month.
I agree to the above terms of delivery
Yes, I agree
