DOOR-TO-DOOR CLEANERS - Special Instruction Form

Please fill out the form below to receive your $25 in Free Dry Cleaning

First Name:
Last Name:
Telephone:
Address :
Postal Code:
E-Mail Address: *
Contact me for a pick-up:
Please answer a few question to help us serve you better.
(1) How did you hear about us?

(2) How often do you go to the dry cleaner?

(3) Do you or your significant other use shirt laundry?

(4) Do you prefer to drop off your cleaning?

If you answered no, then please go to the next question

(5) Would you prefer Home or office delivery?

(6) Where did you previously have your cleaning done?