Information Request Form

Information Request
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
How did you hear about us? *

Other

Scent Beads - Fresh Burst ($1.00 per bag)
Number of bags with Scent Beads
Scent Beads - Ocean Mist ($1.00 per bag)
Number of bags with Scent Beads
Lysol Laundry Sanitizer ($2.00 per bag)
Number of bags with Lysol
Any additional requests or information:

Deposit

A $15 deposit is required at the time of booking to reserve your pickup date and time. The deposit will be applied toward your total service cost. Remaining balance is due upon completion of service.

$15.00 Quantity
Item subtotal:

Subtotal

Tax

Total

Payment Methods

Credit Card

Cash App Pay

I understand garments must be in a tied 13 Gallon trash bag with no rips or tears or overstuffing
Should be Empty:

Information Request

All laundry will be washed in cold water with Free & Clear detergent and dried with a Free & Clear Dryer Sheet unless other unless alternative options are selected.

*

Payment Methods