Untitled Document

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Name (Last):

Name (First):

Address:

Apt #:

City:

Zip Code:

Home Phone:

Work Phone:

Fax:

E-Mail:

LAUNDRY SHIRTS:

Type of Starch:

None

Light

Medium

Heavy

Packaging Preference:

Hanger

Box

DRY CLEAN SPECIAL INSTRUCTIONS (i.e. Roll all pants, crease sleeves, etc.):

REPAIRS:

No Repairs

All Repairs

Notify of Repairs

Day(s) preferred for pick-up & delivery:

Mon.

Tues.

Wed.

Thu.

Fri.

For faster service, please fill out the automatic credit card information below. If you feel uncomfortable sending your information electronically, please give us a call at 310-547-9444. We also offer monthly invoice billing.

Credit Card Type:

Credit Card Number:

Full Name on Card:

Exp. Date

I CERTIFY THAT I HAVE READ AND UNDERSTAND THIS ENTIRE DOCUMENT. AND I AUTHORIZE YOU TO CHARGE MY CREDIT CARD ACCOUNT FOR ANY AMOUNTS DUE BY ME FOR SERVICES PROVIDED BY PACIFIC VIEW DRY CLEANERS. THIS AUTHORIZATION WILL REMAIN IN EFFECT UNTIL YOU ARE NOTIFIED BY ME OF ITS CANCELLATION.

I Agree

I disagree

Should you have any questions, please feel free to call us at 310-547-9444 or email us at pacificviewcleaners@yahoo.com.

HOME NEW CUSTOMER ORGANIC DRY CLEANING PICK UP & DELIVERY

WEDDING GOWNS WET CLEANING CONTACT US

Pacific View Dry Cleaners 1438 W. 25th Street, San Pedro, CA 90732 310-547-9444 pacificviewcleaners@yahoo.com