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Free Month of Dry-Cleaning Grand Prize Drawing
(Win up to $100.00 Worth of Dry-Cleaning!
Don’t have to be Present to Win.)

Please fill out the following information
An asterisk (*) indicates a required field.
* Name: 
Phone:
* Address: 
* City/State/Zip:
Date:
* E-mail:
* What is your birth date?
(Month and Day only)
Please take a moment to answer the questions below so we can serve you better!
Approximately how many times a month do you stop by our store?
Which best describes our service on your last visit?
Would you be interested in pick-up and delivery service? Yes No
What one thing could we do to most dramatically increase our service and value to you?