We truly appreciate your feedback and the chance to make things right!

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1. Name: (required for refunds)

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2. Date of Visit

Date
Time

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3. Please check the reason(s) for your feedback:

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4. Details of the issue, feedback or suggestion: (Provide any details that may assist in identifying and resolving the issue. Include machine number. If returning a laundry card, include the balance.)

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5. Best way to reach you, provide:
- Phone Number
- Email Address

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6. Preferred Refund Method (name required above):
- Cash: Mailing Address
- Venmo: Username

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7. Do you have any additional comments or suggestions?

Thank you for helping us improve your experience!
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