Just give us a call at 824-7737 or complete the information below and submit online. If you prefer to fax, please print form and fax to 824-7749. We will pick up and deliver your cleaning twice a week...every week ...and there's no extra charge! Personal Information First Name: Last Name: Home Phone: Other Phone: PickUp/Delivery Address Street Address: City: State: Zip: Billing Address (If different from above) Street Address: City: State: Zip: Location for Pickup/Delivery (Ex: Garage, Front Door) Location: Starch Selection Please Choose One No Starch Light Starch Medium Starch Heavy Starch Special Instructions Email address needed for Delivery/Pickup Notices, Cleaning Specials and Champion Cleaners E-News Email Address: Promotion Code:
Just give us a call at 824-7737 or complete the information below and submit online. If you prefer to fax, please print form and fax to 824-7749. We will pick up and deliver your cleaning twice a week...every week ...and there's no extra charge!