New Customer Registration

Name *
Name
Cell Phone Number *
Cell Phone Number
Preferences - Shirts
Starching
Packaging
Payment Preferences
Please select your preferred method of payment. If you would like to enroll in automatic credit card payment, please proceed to complete the Payment Authorization portion of this form. All checks are payable to: A&J Cleaners
Credit Card Authorization *
By submitting your credit card information, you are authorizing A&J Cleaners to automatically charge your credit/debit card.

Thank you. We appreciate your business.