Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address for services:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will this be for commercial cleaning, residential cleaning or carpet cleaning?
*
Residential
Commercial
Carpet Cleaning
Standard or Deep Cleaning?
*
Standard
Deep Cleaning
Tell us about your home:
*
Will you need any extra add-ons?
*
Inside Fridge
Inside Oven
Inside Windows
No, thank you!
Other
How many rooms & flights of stairs?
*
Please briefly describe the cleaning services you need done:
*
What date works best for you?
*
In order to book, a $100 non-refundable retainer fee is required.
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( X )
USD
Credit Card
I understand that this retainer fee is 100% non-refundable and counts towards the total cost of services. I also agree to the terms & conditions of working with NW Home Solution:
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