subject_line
Your collegiate concierge.
Student Information
First Name
*
Last Name
*
Phone Number
*
Email Address
*
Campus Information
What college do you attend?
*
Barry University
University of Miami
Florida International University
Florida Atlantic University
Do you live on campus?
*
Yes
No
Dorm name?
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Parent Information
First Name
*
Last Name
*
Phone Number
*
Email Address
*
Laundry Service
Would you like laundry service?
*
Yes
No
Remember for each lbs. over is $1.99 additional charge.
All plan receive weekly pick ups and all clean clothes are returned in 24 hours.
Laundry Service
*
15 lbs. of wash Per Week - $109.99 per month
20 lbs. of wash Per Week - $129.99 per month
25 lbs. of wash Per Week - $149.99 per month
30 lbs. of wash Per Week - $169.99 per month
Are there any special instructions you'd like us to follow for your weekly laundry service? (For example: Hang dry all swim suits, low temp dry or hypoallergenic detergent)
*
Summer Moving & Storage Service
Summer Storage
*
Reserve me a space - $29.99
Remind me next semester
Payment and Order Confirmation
First Name *(On Card)
*
Last Name *(On Card)
*
Billing Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
CVV
*
Current Total:
$0.00
Calculate
Tax
*
7%
Add Gratuity
*
15%
18%
20%
25%
Powered by
Report abuse