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Type
of Account
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Office
Personal
Hotel
Other |
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Account
Status
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New
Existing |
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Name
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E-Mail
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Street
Address
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City
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State
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Zip
Code
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Contact
Phone
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Delivery
Address (if different from pickup address)
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Street
Address
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City
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State
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Zip
Code
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Contact
Phone
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Pickup
and Dropoff Details
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Pickup
Area
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Dropoff
Area
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Pickup
and Dropoff Date Example (Monday 01/19/2004)
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Pickup
Date
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Dropoff
Date
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Shirts
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Boxed
Hangers |
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Starch
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None
Light
Medium |
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Additional
Comments
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Note
A Kissel Cleaners customer representative will contact the customer 24-48
hours after receiving the pickup delivery application to review and confirm
the first pickup date.
Free Pickup and Delivery: Can't find the time to go to the cleaners then
try Kissel Cleaners free pickup and delivery bringing the convenience
and quality to your home or office.
Terms and Conditions
1. All Charges due in full after the statement each month.
2. Customer accepts to be responsible for all charges made on this account.
3. Account Holder accepts to pay all collection and legal fees for overdue
accounts.
4. Customer agrees to accept a credit check and that all information is
true on the application.
5. 10% annual finance charge on overdue accounts.
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Initial
to Agree
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