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Blissful Laundry Services
Full name
*
Phone
*
Email
Date and time
*
Month
Day
Year
Time
:
Hours
Minutes
AM
SERVICE REQUESTED
Wash & Fold
Wash, Dry & Hang
Other
Other service details
Items included
Everyday clothing
Towels
Bedding/sheets
Blankets
Delicates
Other
Other items
Preferred wash settings
Hot
Warm
Cold
No preference
SPECIAL INSTRUCTIONS (Stains, fabric-care needs, detergent sensitivities, fragrance preferences, o rother requests
ADDITIONAL CARE (Do any items need special care?
Yes
No
Explain special care needs
RETURN PREFERENCE
Folded
On hangers
In laundry bags
Other
Other return instructions
CUSTOMER CONFIRMATION
I confirm the information provided is accurate and understand that service details may be confirmed by Blissful Rinse & Refresh. *
Signature
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