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Please complete the application below
for our free pick-up & delivery service.

1. Personal Information

  Ms. Mr. Mrs.
First Name
Last Name
Address (line 1)
Address (line 2)
City/State/Zip    
Home Phone
Cell Phone
E-mail Address
 
2. Pick Up Instructions
 
Pick Up At Front Side Back Other
If other, please specify:
Special Pick Up / Delivery Instructions
 
3. Cleaning Instructions
 
Shirt Hanger Fold
Starch No Light Medium Heavy
Creases/Pleats Yes No
Other Special Care Instructions
 
4. Billing Information
 
Credit Card Type
Credit Card Number
Expiration Date
 
5. 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 credit application is true and correct.