SimpleCommercial

1. Business Info

Company Name

First Name

Last Name

Phone

Industry

Referral Code

2. Service Option

Select an option

Per Pound

Flat Rate Bag

How many flat-rate bags do you need?

(For flat-rate option only)

3. Cleaning Preferences

(Please specify your cleaning preferences)

DETERGENT

Tide Scented is a powerful laundry detergent that removes tough stains and smells fresh.

Tide Hypoallergenic free & gentle, unscented laundry detergent that cleans deep, free of dyes and perfumes.

Scented

Hypoallergenic

FABRIC SOFTENER

Downy Scented softens, freshens, and protects your clothes from stretching and fading.

Downy Hypoallergenic free & gentle, unscented fabric conditioner that protects and softens clothes, free of dyes and perfumes.

Scented

Hypoallergenic

None

Bleach

Yes

4. Pickup / Drop off Location

(This is the address we'll use to pick up and drop off your laundry)

Street Address

City

State

Zip

Phone

5. Payment Information
(Your credit card will not be charged until

service rendered)

Full Name / Business Name

Card Number

exp.

cvv.

Street Address

City

State

Zip

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