Laundry Cleaning Request Form

Laundry Cleaning Request Form

Please complete this form so we can schedule you accordingly.
Full Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pickup and Delivery Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Type a question
Which laundry service works best for you? *please note, all pricing below is before promo codes/discounts.*
Details of Laundry Items (e.g., types of clothes, special instructions)
Desired Laundry PICK-UP option:
IF you have a specific PICK-UP day/time request, enter it below. *EXAMPLE: I prefer a Monday morning pick-up.*
Enter special laundry instructions here: *EXAMPLE: please roll towels OR I'd like my laundry delivered to a different address.*
Do you have a Fresh4U promo. discount code, or who referred you?
How did you hear about us? *Google, referral, Facebook, etc*
Select Your Wash Preference
Select You Color-Safe Bleach Preference
Select You Color-Safe Fabric Softener (Dryer) Preference
Signature to Confirm Request
Should be Empty: