Convenient Sign Up Form

Please fill out the form below and submit to sign up for our services electronically.

This web site does not process payments, it will simply pass your information along to Squeaky Clean.

Please be sure to fill out the form completely.

If you will be paying by check or money order, you can mail that to the address on our Contact Us page.

Laundry Form

Parent Full Name :

Student Full Name :

Phone :

Email :

Country :

Address :

City :

State :

Zip Code :

Plan :

If you would like to pay by credit/debit card, we accept Visa, Mastercard, American Express or Discover via Paypal. Choose the plan you want, and click "Buy Now". When you are done processing payment with Paypal, then click "Submit AFTER Payment".

Laundry Plans

Submit AFTER Payment