Dryclean and Shirt Salon Delivery Application
Thank you for choosing our convenient Dryclean and Shirt Salon Delivery Service.
Please fill out the following information.

First Name:
Last Name:
Delivery Address:
City:
State:
Zip Code:
Billing Address (if different):
Phone Number:
Email:
Credit Card Number:
Expiration Date:
House Charge:
DL#:
Expiration Date:
Signature:

Preference:	Starch:	Heavy	Medium	Light	None
	Shirts:	Hanger	Folded
	Pants:	Dry Clean	Launder

Days for Delivery & Pick-up:		Mon. - Thurs.
		Tues. - Fri.

Special Instructions: