Free Registration Form For Laundry, Dry Cleaning, Cleaning, Moving, Storage. * Required Personal Contact Information First Name * Last Name: * School / Organization / Institute / Business / Other Name: * Phone # * Email Address * Free Pick-Up & Delivery Information: Complex Name / Building / Dorm Hall / House: * Street Address: * City / State / Zip Code: * Promotion Code How have you heard about us? * Preview, TV, Newspaper, Radio, Flyer(s), Website, Facebook, Friend Referral, etc. Plan-Pounds Liability Disclaimer I Agree with La-Z-Laundry Terms * Read the terms below Check Mark Electronic Signature * Date * Comments / Suggestions: Do you have any kind of allergy, rash, detergente preferences, moving, storage, cleaning, etc? Never submit passwords through Google Forms.
