For Atlanta Public School Systems Use Only. Thank You Please remember to send your Credit/Debit Card's CID Code upon completion of this form to complete the Sign-Up Process. Thank You * Indicates a required field Customer Contact Information Prefix Mr. Ms. First Name * Middle Initial Last Name * Work Phone * Cell Phone Billing Address * City * State * Zip Code * APS email address Personal Email Address * Department Name * Concierge/Drop Off location Permission to drop off clothes at designate point Yes No   Cleaning Instructions Shirt On Hanger? Yes No Fold? Yes No Creased on Shirt? Extra * Yes No Starch Preference None Light Medium Heavy   Customer Satisfaction Policy is available on our Website. Preferred Payment Information Payment Type * - - Choose One - - American Express Discover Visa Visa Debit Mastercard Mastercard Debit Name on Card * Card Number * Receive Monthly Newsletter * Yes No Expiration Date * PLEASE NOTE: ABC Dry Cleaners primarily provides dry cleaning services to busy professionals. We do appreciate dry cleanable garments in your free Red Bag. Bag receive and not used within 15 days will be billed to card on file. Clicking Submit button will authorize ABC Dry Cleaners to process my card on file as signature for my requested services. Charges on card statements will show as ABC Dry Cleaners dot Com. Thank You To complete the process, please send last 4 digits of card plus CID Code to manager@abcdrycleaners.com