Jiffy Loads Laundry Pick- Up & Delivery Order Form

Jiffy Loads Laundry Pick- Up & Delivery Order Form

"We treat your laundry how you want it to be treated!"
ATTENTION CUSTOMERS: Please take note that I will be on vacation for 2 weeks from Monday, July 27, 2026 - Monday August 10, 2026. My daughter will be competing in the 2026 AAU Track & Field Junior Olympics. Thank you for your support and understanding. I apologize for any inconvenience this may cause. I hope for the opportunity to service your laundry soon. - Kayla McKoy
Are you an existing or new client?
Do you have Residential or Commercial laundry?
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How would you like to be contacted?
Service Request
Preferred Pick Up Day (* Date & time availability will have to be confirmed first. Times are 'ETA' estimated* times of Arrival)
Desired Pick-Up Date *Must be confirmed*

MonthDayYear
Date
Desired Pick Up Time *Must be confirmed*
Do you like your clothes sorted for washing?
Please tell me about your sorting/laundry preferences and expectations so we can treat your laundry how you want it to be treated.
Estimated Quantity of *13gal trash bags (If not bagged in 13gal please let me know in the pick up details)
Preferred laundry detergent (*Included in price.)
How would you like to treat your whites? (*Additional fees may apply.)
Would you like fabric softener? (*Additional 0.75/load)
Would you like fabric sheets?
Would you like color catchers to protect colors from bleeding? + $0.50/load
Would you like any special treatment (stain, odor, or sanitizer)? (*Additional fees may apply.)
Special Treatment/Additional notes or questions (delicate items, stain treatment, jeans separately, towels separately, do not fold, hang certain items, etc.) *Each additional load besides lights/whites and darks/brights is $5.00/load. *Hangers $0.50 each
Do you want any items on hangers? *Each hanger is $0.50*
How would you like your tops folded? *See diagram*
Describe who we are laundering clothes for. (Check all that apply)
What type of laundry are we caring for? Check all that apply.
Pick-up/Delivery Location Type
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How would you like your laundry picked up?

Other
Pick Up Instructions (Ex. Gated community code, be aware of the dog, call upon arrival)
How would you like your laundry delivered?

Other
Delivery Instructions (Ex. Gated community code, be aware of the dog, call upon arrival)
How did you hear about us?

Other
Who referred you?

First NameLast Name
Additional Information

**Please carefully read and acknowledge that you agree to all terms and conditions before submitting** 1. Standard wash, dry, fold includes everyday laundry (clothing, towels, sheets and blankets) and will be charged by the pound. Laundry is separated into 2 loads (whites/lights & darks/brights) unless told otherwise. Each additional loads will be charged at $5.00/load. Please see price list. Whites/lights are washed on warm. Darks/brights are washed on cold. All items are dried on medium or low. 2. Comforters and Sleeping bags are priced per item. No Down comforters and sleeping bags. Please see the price list for details. 3. Hanging services do not include steaming/ironing. You can provide the hangers or we can provide standard wire hangers for a small fee. Clothing must be washed and clean prior to service for "fold only" and "hang only" services. 4. We will gladly sort the clothes for you, check the pockets, stains and damages and ask if you would like to add-on a spot treatment. 5. We make every effort to treat stains and lint if added, but results may vary and stain removal and full lint is not guaranteed. 6. $30 minimum order required. Orders below the minimum will be charged at the minimum rate. Rates subject to change. 7. Delivery fees and taxes apply. A quote can be provided but is not a final invoice. 8. Invoice must be paid prior to delivery. 9. If you have questions regarding how much a standard load usually weighs, then feel free to ask. 10. Due to safety precautions, we do not service the following: heavily soiled, pet laundry or heavy pet hair, urine, blood, oil, wet, vomit, mold/mildew, paint, strong odor contaminated items (smoke). Items with large holes/significant tears will not be serviced. Thank you for your understanding.
Social Media/Photography

*Please be aware that we take pictures and videos of our services for our social media accounts and advertising and possibly tag you. We will not post anything that could reveal any personal or sensitive information.
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