Summer Wash Service Customer Information Form Student Name * First Name Last Name Student Email * Parent Email * Student Phone Number * (###) ### #### WashU Address * Select your dorm from the options below. If you are living off-campus, please select off-campus. Off-campus Beaumont Danforth Dardick Dauten Eliot A Eliot B Gregg Greek Life Housing Heitzeman Hurd Lee Lien Ligget Lofts Lopata Koenig Millbrook Mudd Myers Nemerov Park Rutledge Shanedling Shepley Umrath Village East Village House Wheeler Zetcher Room number OR home address * If you live in WashU housing, please enter your room number. If you live off-campus, please enter your address and apartment number. Disclaimer and Liability Waiver Neither Wash U Wash nor Heppe Investments Inc inspects laundry bags prior to laundering. It is the customer’s responsibility to remove any personal items from their clothes prior to giving Wash U Wash their laundry bag. Wash U Wash is not responsible/liable for any damages to or loss of clothing or personal items as a result of the customer placing improper garments in the laundry bag or by leaving personal items in clothing. We are not responsible for items that say “dry clean only” put in the laundry bag. We follow care instructions on garments, if there is color loss or shrinkage, we are not responsible. Wash U Wash is not responsible for mold, mildew, or other damages that result from improper storage practices. Waiver Acknowledgement * I have read the Disclaimer and Liability Waiver. Yes, I have read the waiver Billing Acknowledgment * I acknowledge that I will be charged $4 per pound of laundry washed, folded, and delivered with this service Thank you! You will receive a Wash U Wash laundry bag within one week of confirmation of your purchase. Place any items that you would like to be washed over the summer into the laundry bag. Leave the Wash U Wash laundry bag in your room alongside the other items you are storing with UTrucking. It will be returned to your room prior to your move-in date