CLSL ORDERING FORM Use this form to place your bookings Name* First Last Phone*Address* Street Address Address Line 2 City State / Province / Region Email Pickup Date* Date Format: MM slash DD slash YYYY Pick up Days available: Monday, Wednesday and Fridays Pick up Times Available: 06:00am - 07:00am 13:00pm - 14:00pm 18:00pm - 19:00pmPickup Time*Pick up Days available: Monday, Wednesday and Fridays Pick up Times Available: 06:00am - 07:00am 13:00pm - 14:00pm 18:00pm - 19:00pm : HH MM Laundry Option* --Laundry --Shoes Price Ts & Cs* I agree to the CLSL terms and conditionsTerms and Conditions The services provided by CLSL are subject to your compliance with and acceptance of the terms and conditions set out below. Your use of CHANGING LIVES SHOE LAUDNRY services indicates your acceptance and agreement to bound by the terms and conditions of our operations. You must be 18 years of age or older to use our services. If under the age of 18 consent must be given by parent/guardian. Payments The customer must complete payment of the agreed price before the completion of the services and send proof of payment, if interbank transaction. No credit services provided. All Payments are non- refundable. Inventory CLSL is not responsible for any item not listed on the collection form. Customer agrees to be bound by items on the collection/order form. Damaged or lost items It is our priority to supply the best care to your shoes and we appreciate your trust. CLSL makes reasonable efforts to wash & care for your shoes and clothing to maintain high quality service. Occasionally, however, there is an inherent risk that some shoes or clothes might be damaged or lost while under our care. We advise our customers to take a careful look at their items and take pictures (if possible) prior to collection. We do not repair shoes or clothing brought in for standard shoe wash, so items with holes, openings etc. should be expected to return in that condition but washed, refreshed and/or colour restored. CLSL reserves the right to return any shoes or clothes with pre-existing damage after assessing if our laundry care processes will result in a major damage. CLSL accepts no liability for damage due to normal shoe and clothing washing or care. Should customer have reasonable requests for their laundry care, these should be communicated accordingly during the order process. In the event that any shoe(s) or clothes are damaged or lost by CLSL, the damage or loss should be reported within 24 hours after delivery. Failure to do so within 24 hours removes any liability for damaged or missing items on CLSL. CLSL will accept the liability for the damaged or loss shoe(s) or clothes by CLSL however the liability shall not exceed ten (10) times the charge paid for the item cleaning service regardless of the brand. The liability for any shoe or clothing item less than 10 times the charge will be based on current market prices. Uncollected Items CLSL reserves the right to dispose of any laundry not collected within 120 days from the date stated on the collection form. CLSL will have no liability whatsoever in respect of items disposed pursuant to this clause. Use of Third-Party Services CLSL reserves the right to use services from another service provider, vendor; to outsource any services without notifying the customer. The best service will still be provided to the customer. Charge This is per latest price list, please enquire if uncertain of the price at any pointProduct Name Price: $0.00 Quantity: OptionFirst OptionSecond OptionThird Option This iframe contains the logic required to handle Ajax powered Gravity Forms.