Laundry Pickup & Delivery Form

Wash & Fold Drop Off Form

American Mega Laundromat
Home of the Mega Load Washers & Dryers
Our Wash & Fold Division Staff Use Separate Washers & Dryers for Each Client
2781 Hamilton Street, Suite B Hyattsville, MD 20782
Across West Hyattsville Metro Station
Phone: 301 559 0707
PickUp@MegaLaundromat.com

* First & Last Name:

* Pickup Address:

* City:

* State:

* Zip Code:

* Billing Address:

* City:

* State:

* Zip Code:

* Email Address:

* Primary Phone Number:

* Place Primary Phone:

* Alternative Phone Number:

* Place Alternative Phone:

* Billing Preference:

* Credit Card Type:

* Credit Card Number:

* Expiration Date Year:

* Expiration Date Month:

* Items For Pick Up:

* Request Service:

* Shirts Service Requested:

* Choice of Pick Up Frequency:

* Special Instructions:

* Request Service to Begin on Pick a Date

(*)All fields must be filled out.

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* First & Last Name:
* Pickup Address:
* City:
* State:
* Zip Code:
* Billing Address:
* City:
* State:
* Zip Code:
* Email Address:
* Primary Phone Number:
* Place Primary Phone:
* Alternative Phone Number:
* Place Alternative Phone:
* Billing Preference:
* Credit Card Type:
* Credit Card Number:
* Expiration Date Year:
* Expiration Date Month:
* Items For Pick Up:
* Request Service:
* Shirts Service Requested:
* Choice of Pick Up Frequency:
* Special Instructions:
* Request Service to Begin on