Green Village Cleaners | Dry Cleaning | Free Pick Up & Delivery

General Information

Title:

First Name:

Last Name:

Phone:

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Address:

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Cleaning Instructions

Shirt:

Hanger

Fold

Starch:

Light

Medium

Heavy

Other Special Care Instructions:

Billing Information

Name on Card:

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I authorize Green Village 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.

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