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EjSugars Tidy Tushies Cleaning Request Form 
Parenting is messy we make it cleaner. At EjSugars Tidy Tushies, we deep-clean car seats, strollers, high chairs, and more using baby safe products and manufacturer approved methods. Whether you're a stay-at-home mom, working parent, or just juggling it all, we're here to give you a break (and a mess free seat). 
Gift cards available for showers, birthdays, or just because parents deserve it. 
Fill out the form and we will get you booked ASAP! 

Pricing: 
Car Seat: $50
Single Stroller: $60
Double Stroller: $75
Wagon: $50+ 
Bassinet: $60 
Pack & Play: $55 
Infant Bouncer: $25 
Jumper Bouncer: $45
(If you do not see your item listed please let me know) 

A travel fee may apply. Please make sure to provide your address. 
 {There is an option for self drop off and pick up.}
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Untitled Title
Address  *
First and Last Name  *
Preferred point of contact?
Once this form is filled out I will contact you per your preferred point of contact.
 *
Required
Phone Number and Email  *
Is this your first clean? If yes you will receive 10% off!  *
Required
How would you like to handle pick up + drop off your gear?
 (If you choose for us to pick up and drop off please fill out the boxes that ask ? out pick up & drop off)
 *
Required
What date would you like your seat picked up on? 
MM
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DD
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YYYY
What time would you like your items picked up off your porch? We typically pick up from 4pm-8pm. Please contact us if this does not work for you. 
Time
:
We do early morning drop offs. Between 7am and 9am.
Time
:
What detergent would you like? 
(Diva & Noodle & Boo are $5)
 *
Which of the following items are you having cleaned? *
Required
What brand is your baby item or (items)?  *
Please provide any specific cleaning instructions or areas of concern (e.g., sticky spots, mold, heavily soiled areas, etc.) (if your seat has been soiled a $5 fee will be applied) 
How did you hear about EjSugars Tidy Tushies? *
Required
How would you like to pay? 
Payment is required at the time of pick up.
Venmo: Ember-Wallace
Zelle: 469-346-5198
 *
Required
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