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| THIS FORM IS TEMPORARILY DOWN FOR UPDATES. PLEASE CALL 223-6655 OR EMAIL INFO@CILDRYCLEANERS.COM(AUG 19, 2014) |
| 1. Contact Information |
| Items with * are required. |
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Ms. Mr. Mrs. |
| First Name |
* |
| Middle Name |
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| Last Name |
* |
| Please note that the address you enter below will be the address used for Pick Up and Delivery unless 48 hours notice is provided |
| Building/Community Name |
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| Home Address |
* |
| City |
* |
| Phone |
* |
| Cell Phone |
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| Email |
* |
| Date of Birth |
|
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| 2. Cleaning Instructions |
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| Shirt |
Hanger Fold |
| Starch |
No Light Medium Heavy |
| Creases/Pleats |
Yes No |
| Other Special Care Instructions |
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| 3. Billing Information |
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| Card Type |
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| Primary Card Number |
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| Expiration Date |
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| 4. Submit Your Order |
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| I authorize CIL Dry Cleaners and Laundry to charge my Mastercard or Visa in accordance with said terms. We will ALWAYS call you with your final bill before charging your card. |
| How did you hear about us? |
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| THIS FORM IS TEMPORARILY DOWN FOR UPDATES. PLEASE CALL 223-6655 OR EMAIL INFO@CILDRYCLEANERS.COM(AUG 19, 2014) |
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