Birthday Club

Free Month of Dry-Cleaning Grand Prize Drawing

Win up to $100.00 worth of Dry-Cleaning! (Don’t have to be present to win.)

Name*
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code
Email*
Birthdate*
Date Format: MM slash DD slash YYYY
Please take a moment to answer the questions below so we can better serve you!
Approximately how many times per month do you stop by our store?
Which best describes your service on your last visit?
- Excellent
- Good
- Fair
- Poor
Would you be interested in a pick up & delivery service?
- Yes
- No
What one thing could we do to increase our service & value to you?
Comments
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