Form 1

Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Laundry Pickup
Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Special Instructions
For Delivery or Wash

Schedule Pickup

Schedule Return
Return date must be at least 24 hours after pickup

My Products

Pounds of Laundry

Hold is placed on credit card for estimated charge based on estimated weight. Hold will chbage to final charge after being weighed.

$2.50 CAD Pounds
Item subtotal:

Subtotal

Tax

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: