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Express Account Setup Form
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The field marked with (*) are required fields.
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Full Name:
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First Name
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Middle Initial
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Last Name
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Work Contact Information:
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Telephone Number (and extension)
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Email Address
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Address Line 1
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Address Line 2 (Suite Number)
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City
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State
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Zip Code
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Home Contact Information:
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Telephone Number
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Email Address
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Address Line 1
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Address Line 2 (Suite/Apt Number)
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City
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State
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Zip Code
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Country
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Preferences:
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Starch on Shirts
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Shirts / Blouses
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Hangers
Boxed
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Special Instructions
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Payment Information:
Deering will send you a monthly invoice or, if you prefer, will use your Debit/Credit card to process charges when Dry Cleaning or Laundry are delivered. Select payment method by checking one of the selections below:
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Billing Information:
We will call to confirm billing info. |
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Method of Payment
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Monthly Statement
Visa
MasterCard
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Name on Card (if different than above)
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I agree with Deering Cleaners Terms and Conditions listed at the bottom of this form.
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Yes, I agree.
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Regardless of payment method, your Debit or Credit card information must be on file to cover invoices not paid within 30 days. Signature and Credit card # are required for pick-up delivery and customers to be activated.
By submitting this Account Application, I hereby authorize Deering Cleaners to charge my credit or bank debit card (VISA, M/C only) all charges resulting from my use of cleaning, alterations, shoe shine, repair, and leather cleaning and repair services, upon completion of such services as necessary.
Please contact our manager, Angie, at 317-251-6740 if you have any questions or concerns.
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Privacy Guarantee:
The information we gather in the Express Account Setup Form is an important part of our business. It is necessary so we can provide our customers with the best possible service that we can offer. Deering Cleaners is absolutely not in the business of selling this information to outside parties. We guarantee the privacy of all information provided to us.
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