Delivery Service Sign-Up
Name(s) on Account *
Your answer
Address (Street, City, State, Zip) *
Your answer
Cell # *
Your answer
Daytime #
Your answer
E-mail Address *
Your answer
Laundered Shirts *
Type of Starch:
Pleated Pants (crease or no crease)
Flat Front Pants (crease or no crease)
Jeans (crease or no crease)
Auto-Repair (we will automatically repair your garments when you set a limit to the dollar amount) $ *
Your answer
Where would you like your orders picked up & delivered? *
Business Name
Your answer
Business Address
Your answer
Business Phone #
Your answer
Location within Business:
Your answer
Payment Information: We will contact you at the above number to securely collect your credit card information. A monthly statement will be emailed to you with your invoice activity. The total of the previous months orders will automatically be charged on your credit card on the 1st of the month. We accept Visa, Mastercard, American Express and Discover.
All information will be kept secure and confidential. If you should have any concerns, please contact Jaime.
jaime@plantengas.com or (616) 842-6950
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