New Customer Registration Form

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Appointment

Which Type of Flooring exists in your home?

Does your home have Stainless Steel Appliances?

What Kind of Home are you inquiring?

How many Bedrooms are in your home?

Flat pricing for homes with 1 kitchen, 1 dining room, 1 living rooms, 3 bedrooms, and 3 bathrooms. Is your home larger than listed? (A new quote will be given if any larger)

Will you be at the location of service requested at the designated time?

Do you have pet’s at the location of service? (If yes please keep pet’s separate from housekeeper)

Is your home exposed to smoking? (If yes price may vary upon house visit if more work is required)

Specific Cleaning Requests:

Be Aware of $50 Cancellation Fee. We will refund your service minus the $50 fee. Please consider canceling your appointment 4 hours before your scheduled time to allow cleaners to find another home to clean.

Please acknowledge that appointment confirmation will be sent via Cell Phone SMS/Email from a Camacho Rep. Payment link will be sent along with appointment confirmation. All payments are made prior to arrival via SQUARE. Cash Payment is made upon arrival before service begins. A Housekeeping Agreement must be signed by customer prior to or upon arrival via DocUSign attached to SMS/Email confirmation. If shelves are higher than 6ft.,ladder and step stool accommodations are required to be provided by customer. Please keep all pets separate from areas where service is taking place. Stains are not guaranteed to be removed. Prices may vary for additional rooms. Service may require more time than listed. Prices may vary upon initial house inspection.

Checklist:

My Products

Inside Refrigerator Cleaning

Add On

$10.00 Quantity

Inside Oven Cleaning

Add On

$15.00 Quantity

Inside Cabinets Cleaning

Add On

$15.00

Stainless Steel Polishing

ADD ON

$10.00

Laundry Service

Add on $10 per load (min of 2)

$5.00 Quantity

Window Screen Cleaning

Add On. Accessible Window Screen ($8 per Screen)

$8.00 Quantity

Carpet Cleaning Add On

Add on to Housekeeping Service ($65 a room)

$45.00 Quantity

Upholstered Chair Cleaning

$8 per chair

$8.00 Quantity

Sofa Cleaning Add On

$30 per sofa set

$15.00 Quantity

Area Rug Cleaning Add On

Size 9ft X 10ft or smaller $30 each

$10.00 Quantity

Large Area Rug Cleaning Add On

Larger than 9ft X 10ft $45 each

$20.00 Quantity

3 Room Carpet Cleaning

3 room Carpet Cleaning Service

$170.00

4 Room Carpet Cleaning

4 Room Carpet Cleaning Service

$215.00

House Carpet Cleaning

5 or more rooms Carpet Cleaning Service

$250.00

STANDARD SERVICE

$75.00 Quantity

Enter coupon

Subtotal

Tax

Total

Signature

Customer Details:

My Products