YYZ Small Business Inc.
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Sign Up Sheet-
Please print, fill out and drop in your first bag of cleaning.

Express Valet Dry Cleaning Service

266-2075

 

 

Sign Up Information Sheet (Please Print Clearly)

 

First Name_________________________

Last Name_________________________

Home Address ______________________

__________________________________

City          _________________________

Zip Code  _________________________

Home Phone _______________________

(For our use only, in case we have a question about your cleaning)

*Place of Work _________________________

Work Phone__________________ Ext._____

Email     ______________________________

 

Please circle one

 

Credit Card-    Master Card    Visa    Discover  

 

Account Number________________________________

Expiration Date _________________________________

Billing Address For Card - Street Number_____________

                                        - Zip Code__________________

 

I authorize Express Valet Dry Cleaning Service to bill my credit/debit card for payment of dry cleaning and laundry services provided to me.

 

File Signature   __________________________________

 

Thank You!  Email Bill Hypes at- expressvalet1@aol.com

 

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