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New Client Sign-up Form

(First time clients, please include a copy of this form with your order)

This form is for use of clients of Cleaners2U.
We invite you to complete the form with information about yourself.
This confidential information will be kept on file for the exclusive use of Cleaners2U so that we may serve you better.

Please Note:
All information transmitted over the internet using this form
will be encripted and secure.

Contact Information
*required fields

*First Name: Enter Last Name. *Last Name: Enter First Name.

Home Address
Street: City: St: Zip:
Home Phone:

Street: City: St: Zip:
Business Phone:

*Email: A valid email address is required.Invalid format.

Credit Card Information

Credit Card Type: Number: Expiry (MM/YY): Signature Area:

Preferences & Instructions

Starch Preference:

Preform Minor Repairs? Repairs Limit Amount:$

Regular Pickup Day or Call In?

Pickup/Dropoff Instructions:

Special Instructions:


Cleaners2uVillage Square Cleaners


Drycleaning & Laundry Institute Award of Excellence