Stuy Wash N Dry Laundry Pickup Form

1
Full Name* This field is required.fill in your name
First Name
Last Name
2
Phone Number* This field is required.enter your valid phone number
Area Code
Phone Number
3
E-mail Address* This field is required.
4
Address* This field is required.Please Include Your Apartment Number
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Please select your preferred pickup date & time. If selecting today, please give us at least three (3) hours advance notice for pickup. If selecting same day pickup and delivery, same day fees apply. There is no additonal fee for same day pickup and next day delivery.
6
Please select your pickup date* This field is required.Please indicate in special instructions if you would like your laundry picked up & dropped off up weekly or biweekly.
Date
Month
Day
Year
7
Select your preferred time for pickup* This field is required.Select the time. For specific time request, please place a note at the special instruction column.
Please Select
Please Select
Between 10:00 AM-12:00 PM
Between 11:00 AM-1:00 PM
Between 12:00 PM-2:00 PM
Between 1:00 PM-3:00 PM
Between 2:00 PM-4:00 PM
Between 3:00PM-5:00PM
Between 4:00 PM-6:00 PM
Between 5:00 PM-7:00 PM
Between 6:00 PM-8:00PM
8
Is This A Same Day Order? Next Day Is Standard.* This field is required.There is no additional charge for next day All Same Day Orders Are Delivered Between 6:00-8:00. (Please Call If An Earlier Delivery Time Is Needed) Same day fees: Up to 20 lbs $15.00 (additional fee) 20lbs -40lbs $20.00 (additional fee) Above 40 lbs $25.00 (additional fee)
YESNO
9
Please select your drop off date* This field is required.Please Note: Payment is required two hours before your delivery window begins.
Date
Month
Day
Year
10
Select your preferred time for drop offSelect the time. For specific time request, please place a note in the special instructions column.
Between 2:00 PM-4:00 PM
Between 3:00 PM-5:00 PM
Between 4:00 PM -6:00 PM
Between 5:00 PM - 7:00 PM
Between 6:00PM -8:00 PM
11
Detergent OptionsSelect One.
House Brand Detergent $1.69 lb (must select House Brand Fabric Softener & Dryer Sheets)
Tide $1.85 lb
Gain $1.85 lb
Seventh Generation $1.99 Lavender Scent
Seventh Generation $1.99 Free & Clear
Free & Clear $1.85
12
Fabric SoftenerSelect One
Downy
Gain
Downy Free & Gentle
Downy Plant Based
House Brand
Wool Dryer Balls (No Scent)
No Fabric Softener
13
Dryer SheetsSelect One
Downy
Bounce
Gain
Bounce Free & Gentle (No Fragrance)
House Brand
No Dryer Sheets
14
Dryer SettingsSelect One
High heat (Included)
Low Heat .20 lb
Medium Heat .15 lb
Delicate Heat .20 lb ( closet setting to air dry)
15
Bleach/Laundry BoostersSelect One
Oxy Clean .20 lb.
Vinegar & Baking Soda .15 lb.
16
Would you like plastic bags/plastic wrapping to protect your clothes?
YESNO
17
How many bags of laundry do you have for pickup? Please separate specialty Items eg. comforters, blankets, and rugs.
18
Does your order include Dry Cleaning?Place all dry cleaning items in a separately labeled bag. Please note dry cleaning is not next day and could take 2-3 days from date of pickup.
YESNO
19
Any additional special instructions:Hang Dry, Cold Water Wash, Delicate Wash. Please Note: We recommend that you place delicates such as bras and lingerie items in a delicates bag (small mesh laundry bag) for best results.
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