NOTE: This form is provided for your convenience only. You are not required to fill out this form on each order.
	Name: Phone No: Email: Date To be picked up (route day) or dropped off at store
	Description of Item
	Special Instructions
	I understand that the speciality item listed above requires special handling and, by signing below, I acknowledge the risk of cleaning it and will not hold 24/7 Dry Cleaners responsible for any damage cause to it.
	We will return your item as soon as possible but please note, the process may take couple of weeks.
	Signature: Date:
	To sign electronically, simply add // before and after your signature (example: // John E. Doe//)