• Please provide the following information:

  Name
  Street Address
  Address (cont.)
  City
  Zip/Postal Code
  Day Phone
  Evening Phone
  E-mail

   

• Frequency:

  Call As NeededWeeklyTwice Weekly

   
  

• Shirts:

  HangerFoldedNo StarchLight StarchMedium StarchHeavy Starch

   
  

• Pants:

  CreaseNo Crease

   
  

• Sweaters:

  On HangerFolded/Bagged Over Hanger

• Enter your special instructions in the space provided below:

   

• If An H₂Only Cleaners Customer Referred You Please Enter Their Name:

  We will call you within 24 Hours To Complete Your Delivery Setup.

  We require a credit card on file for delivery customers, regardless of payment method chosen.  Orders are charged at delivery.

  In order to save fuel and further reduce truck emissions, weekly and twice weekly customer will have their status changed to "call as needed" if they have not submitted an order for pick up in 2 weeks.  To request to return to regular pick-up status call the main store at 677-9388.  NOTE:  Delivery orders cannot be picked-up from or sent to other H2Only locations. 

  Weather delays may delay your order by one cycle.  You may pick up your order at the main store prior to your next delivery if you like.
  

You may also download this form here and fax to 677-9588 to setup your service.