Holiday Coin Laundromats, at www.laundrymatters.com:
Internet Special Wash & Fold Coupon

1) Simply Enter your wash & fold instructions.
2) Print this form and bring it with your order for a $3 discount.
(This form does not save any data. It is designed only to be filled in and printed out).

About you:
First, last name:
Phone number:
Email address:
When my order is ready:
 Call me Email me I will pick up my order on _______________
Are you a first-time customer?:
 Yes, this is my first order with Holiday Coin Laundromats
About your laundry preferences:
Bleach?:


Fabric softener?:
Dryer sheet?:
Water temperature?:

On hangers?:

 Shirts on hangers Pants on hangers
About today's order:
Same day service? (add 15%):
 Order must be in by 2:00 pm for same day service

Your special instructions or description:
(3 short lines maximum please)

Customer's container:


Holiday Coin Laundromats drop off service:
179 S. 14th St. (At Main St., opposite Grocery Outlet) in Springfield. (541) 726-1751

Please note:
We take great care in cleaning your garments. However, we are not responsible for any damage, including, but not limited to, tears, stitching loosening and/or giving out, color/dye changes and/or bleeding, missing buttons, discoloration.
Items left over 15 days are considered abandoned.

Your initials, please:________

Holiday Coin staff notes:
Employee:
 ____________________
Pre-wash Stain / damage check:
 ___________________________ / _______________________________
Post-wash Stain / damage check:
 ___________________________ / _______________________________
Drop-off date / time:
 _________ / _________
Pick-up date / time:
 _________ / _________
Weight:
 __________
Charge (weight x 1.09 cents per pound):
 __________
Same day service fee?:
 __________
Total:
 ____________________
Date paid:
 __________
Cash? check?:
 __________
Additional notes:

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