Registration - Pinstripe Corporate Dry Cleaning

REGISTRATION FORM

(one-time-only)

A. Pinstripe separates your credit card details between two encrypted, password protected database.

B. Pinstripe will include a complimentary personalized garment bag with your first order.

C. Pinstripe does the cleaning, eftpos’ credit card account & then return the cleaning with your personalised garment bag and eftpos duplicate.

Date
MM slash DD slash YYYY
Full Name*
Company
Full Address*
Street Address Address Line 2 City Country
Office Phone
Mobile Phone
Email*
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
*
I authorize Pinstripe to electronically charge the above credit card with the cost of my dry cleaning or laundry.*
*
I acknowledge and accept that the use of this self service system will be at my own risk whilst garments are on my company's premises.*
PLACE THIS FORM WITHIN GARMENT BAG