logo Please complete the Home Pick Up and Delivery signup form below to start enjoying our service. Please note that this form is secure.

1. Contact Information

Items with * are required.
  Ms. Mr. Mrs.
First Name *
Last Name *
Building/Community Name
Home Address *
City/State/Zip     *
Phone *
Cell Phone
Email *
 
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
 
Card Type
Primary Card Number
Expiration Date
 
5. Submit Your Order
 
I authorize the Plaza Cleaners Dry Cleaners to charge my Mastercard, Visa or American Express in accordance with said terms. I hereby certify that the information in this credit application is true and correct.