New Client Account Setup – New Pearl Cleaners

New Client Intake Form

Your information is safe with us, and we will only bill your credit card once your dry cleaning order is ready.

Name *

First

Last *

Last

Company

Email *

Phone Number

How Would You Like Your Shirts Laundered?

What Level of Starch Would You Prefer?

Special Notes

Address

City

State/Province

Zip/Postal

Country

Credit Card Type *

Name on Card *

Visa/MasterCard/Discover Card Number *

AMEX Card Number *

Expiration Date

CVV Code *