Name * First Name Last Name Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Desired Date * MM DD YYYY Time To Return Clothes By If Needed Hour Minute Second AM PM Est. Number of Loads * General Pricing will be $15/$30 + $1.75/Lb 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Special Instructions Detergent Preference Downy Tide Gain Plant Based Gain Customer Owned Bleach W/ Whites Yes No Method of Payment Debit / Credit Purchases may hold $10.00 (part of transaction) Credit/Debit Card Cash PayPal Apple Pay Google Pay Venmo Acknowledgement of Terms and Conditions * I have read the terms and conditions for the services requested in the link provided below Thank you! Your submission has been received and a member of our team will contact you shortly ! Terms and Conditions Please fill out the form below to request service. Bulk Events / Inquiries 773.621.1212mobilelaundry@loadsandlathers.org
