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062-241-6903
thatomonna03@gmail.com
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Intake form
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Name
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Email address
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What services are you interested in?
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Laundry Services
Internet Access
Gaming Facilities
Preferred method of contact
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Phone
Email
In-person
What type of laundry service do you require?
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Self-Service
Wash and Fold
Dry Cleaning
How often do you use laundry services?
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Daily
Weekly
Monthly
Occasionally
What type of internet services do you require?
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Wi-Fi
Computer Access
Printing Services
What games do you prefer to play?
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PC Games
Console Games
Mobile Games
Tabletop Games
How did you hear about us?
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Social Media
Friend/Family
Search Engine
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Which service or services are you interested in?
Please select at least one option.
Laundry mat
Internet cafe
Gaming
Additional questions or comments
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