Delivery Application « All Seasons Cleaners

Thank you for your interest in All Seasons Cleaners’ home pick-up and delivery service. Fill out the form below and we’ll start your service right away!

Note: Fields with an asterix (*) are required fields.

Delivery Application

* First Name

* Street Address

* City

* State

* Zip Code

* Home Phone (with Area Code)

Work Phone (with Area Code)

Mobile Phone (with Area Code)

E-mail Address

Would you like to receive discounts and news in your inbox each month?

Yes

Activate your account. Enter your preferred credit card type.

Card Number

Exp. Date

Exp. Date (Year)

Security Code (see back of card)

I authorize All Seasons Cleaners to bill my account.

Yes

How much starch would you like in your shirts?

How would you like your shirts packaged?

On hangers

Folded

Any special instructions:

All Seasons Cleaners : Dry Cleaning and Laundry

Delivery Application