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Home Delivery Account Application

 

Please fill in the information below as complete as possible. After pressing the Apply Now button below, your completed form will be emailed to us. Please print the completed form and sign it. You may fax it to us at 901-937-4805 or mail it to 1856 Vanderhorn, Memphis, TN 38134. We have to have your signature on file in order to complete the application.

Application Type

Home Delivery/Credit App Credit Application Only (Store Charge)

Personal Information

Name Spouse
Employer
Address
City, ST Zip ,
Home Phone
Work Phone
Cell Phone
E-mail Address

Preferences

On Hangers  Folded (Boxed)  No Starch Light Starch Hevy Starch

Northwest Airlines® WorldPerks®

Account Number

Payment Information

Credit Card
Cardholder Name
Card Number
Expiration Date
Your credit card will be charged in the first week of the following month for previous months charges.

Note: Tickets on clothes picked up in previous months are billed to your credit card on first week of the following month. It is understood that this is a 30 day account. Any balance over 30 days (due to expiration or over credit limit on credit card) is considered past due and is subject to service charge of 1.5% per month on the past due balance only. If credit is granted, the above terms are deemed to be accepted. It is further agreed that if any amount due must be placed with an attorney for collection or if collection is made through bankruptcy or probate proceedings, all court costs and a reasonable attorney's fee will be added to the total amount due.

 

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