Holiday Coin Laundromats, at
Internet Special Horse Blanket Cleaning Coupon

1) Simply enter your contact information and 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:
Horse's name (optional):
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
Your blanket(s):
Condition of your blanket(s):
Bleach needed?:

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 any damage, including, but not limited to, tears, stitching loosening and/or giving out, color/dye changes and/or bleeding, and padding/stuffing escaping.
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:
_________ / _________
# of items:
Same day service fee?:
Date paid:
Cash? check?: