Sign up for pick-up and delivery Name * Address * Phone Number * E-mail * Billing Address (If Different from Above) Type of Monthly Account Pay By Check Charge My VISAM/CAMEXDiscover Account Number Exp. Date Security Code Authorized Signature * Customer Authorization and Release: I understand that my orders will be automatically charged to my VISA/MC/Discover/American Express account each month. A copy of all charges will be attached to each order for my reference. I certify that the enclosed information is true and complete. I agree to pay my charges in full within 21 days of the statement date. If an action for collection is filed, I agree to pay all costs and attorney fees incurred. Pick up and delivery preference. (How often do you want laundry service) Once a weekTwice a weekEvery other week Ok to leave items if not home? YesNo In the event of rain, would you like your item left ? YesNo Laundry Finish Standard FinishHand Finish Starch Preference NoneLightMediumHeavy Shirt Preferences HangerBox Special Instructions Please prove you are human by selecting the Cup. Please leave this field empty. Allow 5 Days For Your Account To Be Processed & Setup Driver does not carry cash. No coupons accepted with Pick-up and Delivery Service.