Keepsake Request Form

Service Request Form
Your Name *
Preferred Contact Method *
Phone Number *
Email *
Follow-Up Preference
Which of our services interest you? *

Packing / Unpacking Organizing Cleaning Kitchen Pack + Clean
Are you looking to set up recurring cleaning services or a single cleaning service? *

Subscription Single Service
Is your schedule flexible or do you need help on a specific day? *

Flexible Specific
Preferred Service Date *

Month Day Year
Date
Preferred Cleaning Date

Month Day Year
Date
2nd Pack Date Preference

Month Day Year
Date
2nd Cleaning Date Preference

Month Day Year
Date
What day of the week would you prefer for your recurring cleaning service? *
What frequency of recurring cleaning services are you interested in?
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
# of Bedrooms *
# of Bathrooms *
Total Square Footage of Residence
Leave blank, if you're not sure.
Please select from the menu below for any additional services you would like to add.

Interior Oven Cleaning Interior Dishwasher Cleaning Refrigerator/Freezer Interior Cleaning Interior Cabinet Cleaning (Bathrooms/Kitchen/Built-Ins) Interior Drawer Cleaning (Bathrooms/Kitchen/Built-Ins) Interior, Reachable Window Cleaning
# of Cabinets *
Please enter the number of individual cabinets that you would like the interiors of cleaned. Each cabinet should be counted by individual door face. Please consider bathrooms, kitchen and any built in's around the residence.
# of Windows *
Please enter the number of window and sliding glass door panes that you would like cleaned. We only come with a small step-stool and are therefore not able to offer elevated windows or exterior services at this time. Our intent is to offer cleaning to those easily reached, hand smudged windows with this offering.
# of Drawers *
Please enter the number of individual drawers that you would like the interiors cleaned. This helps us manage our schedule and determine cost.
If you have any additional notes or questions that you'd like to provide to our Team please enter them below and we will include a response/acknowledgment in our follow up.
Tell us more about your organizing needs. Is this a sort-and-toss, or a declutter, or something else?
Share any details about scheduling preferences here.
Request Status *

1st Attempt
Client
Should be Empty:

Service Request Form