date
name on credit card
contact number
address
Amex Mastercard Visa
card no (please use spaces)
expiry    
     

• Please print this form out and either place with your drycleaning or fax it to 9573 1149.

• Purple Jacket Drycleaning Pty Ltd takes your privacy seriously, no customer details will be provided to any other organisation.

• Purple Jacket Drycleaning satisfaction policy insures if you are not 100% happy with our services we'll reclean it free of charge (not all stains can be guaranteed).

Purple Jacket Drycleaning Pty Ltd
Po Box 257 Strawberry Hills 2012 NSW admin tel 0412 205 831 fax 9573 1149
ABN 14 078 132 439 ACN 078 132 439