Inter-City Cleaners
Credit Card Authorization Form

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Please complete this form and click on "Submit" to send us your
credit card authorization approval.

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Billing Information

First Name

Last Name

Company Name

Address 1

Address 2

City

State

Zip

Phone

Email Address

Credit Card

Card Number

Expiration

Pick-up Location (if different than above):

Address 1

Address 2

City

State

Zip

Signature

Initials authorizing Inter-City Cleaners to charge the above credit card
for laundry and dry cleaning services rendered.