Laundry Pickup Request Form

Laundry Pickup Request Form
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Pickup Address*

Street Address

Apartment/Unit/Lot #

CityGate Code (If Applicable)

Zip Code
Number of Bags/Hampers/Baskets/Totes*
How did you hear about us?

ReferralWeb SearchSocial Media
Service Requested (20 lb minimum for WDF; 30 lb minimum for Deep Clean or Fluff & Fold)*

Standard Wash, Dry, and Fold with 2-Day Turnaround ($1.49/lb)Express Wash, Dry, and Fold with 1-Day Turnaround ($1.99/lb)Rapid Refresh - Rush Service with 12-hour Turnaround ($2.99/lb)Deep Clean/Sanitize with 3-Day Turnaround ($2.99/lb)Fluff & Fold ($0.88/lb)
Add-ons*

Chlorine Bleach ($0.25/lb)Liquid Fabric Softener ($0.25/lb)Oxygenated Bleach ($0.50/lb)Scent Beads ($0.50/lb)None
Detergent Requested*
Allergies (If none, type NONE)*
Payment Method
Pickup Time Requested*
Should be Empty: