Go ahead, enjoy your life with gusto. Guacamole? Nada problem!

Get dirty! We'll clean up after you!

Just fill out our new customer sign up form. We'll set up your account, and deliver your
Clothesline Gold Service Bag to fill with your cleaning and dirty laundry.
* required fields - thanks

Title:	Ms. Mr. Mrs.
First Name: *
Middle Name:
Last Name: *
Building/Community Name:
Address: *
City: *		State:		Zip:
Phone: *
Cell Phone:
Email:  *
Please Re-Enter Email:  *
Date of Birth:
Pick up at:	Front       Back      Side      Other
If other, please specify:
Drop off up at:	Front       Back      Side      Other
If other, please specify:
Will Call:	Please check
Other Special Delivery Instructions:
Shirt:	Hanger       Fold
Starch:	No      Light      Medium      Heavy
Creases/Pleats:	Yes      No
Other Special Delivery Instructions:
Card Type :	Visa     Master Card      AMX      Discover
Primary Card Number:
Expiration Date:
Comments:
How did you hear about Clothesline?	Web search Yellow pages Recommendation Other I would like to receive "special offers" from Clothesline by e-mail

By selecting the submit button below I authorize Clothesline Cleaners to
charge my credit card in accordance with said terms.

I hereby certify that the information listed above is true and correct.