Holiday Coin Laundromats, at
Internet Special Bedding Coupon

1) Simply enter your contact information and your washing instructions.
2) Print this form and bring it with your order for a $3 discount.
(This form does not save any data. It is designed only to be filled in and printed out).

About you:
First, last name:
Phone number:
Email address:
When my order is ready:
Call me Email me I will pick up my order on _______________
Are you a first-time customer?:
Yes, this is my first order with Holiday Coin Laundromats
About your laundry preferences:

Fabric softener?:
Dryer sheet?:
Water temperature?:
About today's order:
Same day service? (add 15%):
Order must be in by 2:00 pm for same day service

Your special instructions or description:
(3 short lines maximum please)

Customer's container:

Holiday Coin Laundromats drop off service:
179 S. 14th St. (At Main St., opposite Grocery Outlet) in Springfield. (541) 726-1751

Please note:
We take great care in cleaning your blankets.
However, We are not responsible for damage to items, including, but not limited to:
tears - color transfer/bleeding - missing buttons - discoloration - fillingescaping - stitching becoming loose or undone.
Items left over 15 days are considered abandoned.

Your initials, please:________

Holiday Coin staff notes:

Pre-wash Stain / damage check:
___________________________ / _______________________________
Post-wash Stain / damage check:
___________________________ / _______________________________
Drop-off date / time:
_________ / _________
Pick-up date / time:
_________ / _________
Circle one:      Twin           Queen            King
Same day service fee?:
Date paid:
Cash? check?: