Madtown Machines Customer Interest Form

  • Madtown Machines Customer Interest Form

  • Format: (000) 000-0000.
  • What type of property do live in?*
  • Are there a pre-existing washer/dryer hookups on your property?*
  • Is your property compatible with electric dryers? We only offer service on electric dryers, not gas. *
  • Is there a dryer vent?*
  • Is the outlet for your dryer 3 or 4 pronged?*
  • Do you have pre-existing washer/dryers that need to be removed from the property prior to installation? If so, that will be an additional $50. *
  • Any other questions before scheduling your installation?*
  • Our standard operating hours are weekends and select weeknights. What works best for you?*
  • What is your preferred delivery date in the next 2-weeks? We will do our best to accommodate.

  • Note: Your card will not be charged today. We collect payment information to secure your machines and create your customer profile. We will only process the first month's payment once we’ve installed your set. If you still have questions, feel free to submit the form without this information and we will call you to confirm.

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          Washer + Dryer Set Rental – Standard 12 Months
          ($60.00$60.00 for 1 month)
            
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          Debit or Credit Card
        • Should be Empty: