FilCan Cleaning Services Customer Data

Customer Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Her Work

Area CodePhone Number
Her Cell

Area CodePhone Number
His Work

Area CodePhone Number
His Cell

Area CodePhone Number
Preferred Phone
Email
What type of reminder would you like to receive for each service?
Possible other names on Checks Received (Needed for Accurate Posting of Check(s)
Please check all preferred days for cleanings (including the day we have you scheduled for)
Please check your preferred times of the day for cleanings
About the home
# of bedrooms
# of bathrooms
Approx. square foot
# of stories
More than 50% carpeted
Special Instructions Regarding Closed Doors
Do Not Touch Items
Preference for wooden furniture dusting
Earliest and latest time of the day to clean your home:(i.e. 8am – 5pm)
Special Products Client Will Provide and Location of Products
Access to Home (Gate Code, Alarm Code and Location, Location of Hidden Key, Other Entering Instructions)
Animal Names, Types and Special Instructions
Location of Central Trash Container
Other Instructions
Periodic Tasks

(FREE FOR WEEKLY AND BI-WEEKLY CLIENTS ONLY-Available for other clients at a small additional cost) – Performed one at each visit starting at second visit
*It takes two visits to complete the wet wiping of the baseboards and window sills.
List tasks to exclude:
Should be Empty: