Credit Card Authorization - Choice Cleaners Delivery Dry Cleaners

Choice Cleaners Delivery Dry Cleaners

Choice Cleaners strongly recommends an easy and convenient payment option via credit card. Please complete the form below and submit it only once. Payment for your dry-cleaned items will automatically be charged with the credit card you authorize to remain on file with us, unless otherwise directed.

Ayman Awad,
Owner & Operator
Choice Cleaners Delivery
110 Lake Avenue South
Suite 36
Nesconset, NY 11767
(631) 265-9591

I hereby authorize Choice Cleaners Delivery to
charge the credit card listed below for dry cleaning services.

Name *

First

Last

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Email *

Billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Delivery Address *

Line 1

Line 2

City

State

Zip Code

Country

Choose an Option *

Per Transaction Monthly Billing

Credit Card Number *

CVV (3 or 4 digit code) *

Expiration Date *

Zip Code *

Authorized Signature *

Submit