Pick up & Delivery Request Form

Information you provide is confidential and will never be sold, rented, loaned or made
available to anyone outside of our organization. Thank you. Mario's Cleaners & Laundry

   First name:
   Last name: (REQUIRED)

   E-mail address: (REQUIRED)
   Telephone: (REQUIRED)

   How should Mario's proceed?:
   Day of Week for Pickup & Delivery:

   Number & Street:
   City or Town:

   Please describe pick-up location in detail:
   Comments:

1001 Hope Street, SPRINGDALE • Tel: 203 388-8532