REQUIRED: In order to process your order, we must have all the following information. Please complete this form and print legibly and make a copy of this form for your records.You must include this form when shipping your items to us.

SEND YOUR PACKAGE TO: Prestige Green Touch Cleaners 970 Monument St, Pacific Palisades,CA 90272

First Name____________________Last Name _______________________________Home Phone_____________________________ Office________________Cell_________________________Email Address________________________________________________      

Ship to:Address___________________________________________City_________________State______________Zip___________

Credit Card Information:For your convenience we accept: VISA & MASTER CARD
Name as it appears on your card:_________________________________________Account#________________________________
Exp. Date______________Authorized Signature: (required)______________________________

Is your Credit Card billing address and your shipping address is the same? Yes_____No_______
If no, please provide us your credit card billing  address:___________________________________________________________________________________________________

Insurance: Declared value of your shipment $______ (required) Return shipments are insured for $100. For additional insurance check below: ____ $400 total insurance (add $9) ____ $500 total insurance (add $11) $600 total insurance (add $15)    

                          SEND YOUR PACKAGE TO: Prestige Cleaners 970 Monument St,Pacific Palisades,CA 90272

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SPECIAL INSTRUCTIONS:

We do not sale or share your personal information’s, At Prestige Cleaners, we respect your privacy and take protecting it seriously. Your name, address, phone, email address, credit card number or and any other information you provide are held in strict confidence.

By submitting this form, I certify that the above information is true and, I authorize and agree that Prestige Cleaners to charges my credit card for each order.

ANY QUESTIONS? PLEASE CALL US:310-230-2656 or 310-652-1200

We treat your fine garments and household textiles with extraordinary care.

PRESTIGE

Green Touch Cleaners

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