Route Signup

We appreciate your taking the time to fill out this Customer Preference Form. We consider this information privileged and shall be used only by us in improving our service to you.

Please fill in the fields below and click "submit" to contact us.

* signifies a required field.

* First Name:
* Last Name:
Street Address:
City:
State:
Zip Code:
* Home Phone Number:
Work Phone Number:
* Email:
Your laundry preferences are:	Shirt: Hanger Box
	Starch: Heavy Medium Light None
	Repairs to $5.00 OK'd? Yes No

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