Name *

Customers Name

First Name

Last Name

Pickup Address *

Location of Pickup

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Pickup Date *

Laundry Pickup Date

MM

DD

YYYY

Type of Service *

Delivery Option

Standard 2 Day Return - $2.79 per pound ($60 minimum)

Next Day Return - $3.25 per pound ($75 minimum)