Your Pampered Home - Dry Cleaning and Laundry Order Form

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Dry cleaning & Laundry Order Form:

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Order Date:
*Name:**
*Phone Number:**
*Street Address:**
*E-mail Address:**
*Pick-up Date:**
*Pick-up Time:**
How did you hear about our services?:
LAUNDRY - GARMENTS - Shirts only
Qty.	Item
	Shirts
Starch: None Light Medium Heavy
Dry Cleaning - Garments
Qty.	Item
	Blouses
	Comforter
	Dress
	Jeans
	Neckties
	Polo Shirts
	Skirts
	Sport Coats
	Suit (Two Piece)
	Suit (Three Piece)
	Sweaters
	Trousers
OTHER ITEMS
Qty.		Item




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