Order Form

Please print this page off, use for Shipping Label and insert information form for us to follow.

Shipping Label:

To:
Appalachian Leather Cleaners
615 East Monroe St.
Tullahoma TN 37388

From:
______________________________
______________________________
______________________________
______________________________

Information Form:
Please place in box with garments.

Name:________________________________
Address:______________________________
_____________________________________
City, State, Zip:_________________________

Phone number:__________________________

Email address:__________________________

Credit Card Number_____________________
Type:_________________________________
Name on Card:_________________________
Exp. Date:_____________________________
*Other payment arrangement may be made, however
your garment will not be shipped back to you until
services are paid for.

Do you want an estimate of costs emailed to you prior
to beginning your work:___________

Please describe garments and what services are needed here:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

Please feel free to call or email with any questions...
thank you for your business!

Call now: 1-800-691-6019 or email askalc@edge.net

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