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School Application

Student Information

 
Name of School
Name of Student
Student E-mail
 
Billing Information
 
  Ms. Mr. Mrs.
First Name
Last Name
Address
City/State/Zip    
Home Phone
Cell Phone
E-mail REQUIRED
 
Cleaning Instructions
 
Shirt Hanger Fold
Starch No Light Medium Heavy
Other Special Care Instructions
 
Plan Type
 
Select Plan Basic Deluxe
 
Credit Card Type
Credit Card Number
Expiration Date
 
Submit Your Application
 
I authorize Plaza Dry Cleaners to charge my credit card in accordance with said terms. I hereby certify that the information in this application is true and correct.