Virtual Laundromat Service Order Form

Virtual Laundromat Service Order Form

Please fill out the form to schedule your wash and dry service with pickup and delivery.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Payment request will be sent prior to delivery

Provide username for your payment method
Venmo Username i.e. @username
CashApp Username i.e. $username
Pickup and Delivery Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Additional Information
Select Pickup Time Slot*
Select Services Needed*

Wash, Dry & Fold $3.00/lb 22 lb. minimum (includes pick-up & delivery)
Detergent
Instructions/Requests
Should be Empty:

Payment request will be sent prior to delivery