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Supply Request Form
Form MUST be submitted 24 hours prior to pick up
Today's Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Select ONLY the supplies you will need for the next week (only enough to last 1 week)
Categories:
All
All
Cleaning Solutions
Red Bag Items
Vacuum items
Extra Supplies
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( X )
Cleaning Solutions
Floor Cleaner
$
Free
1/2 Gallon of Floor Cleaner
Quantity
Glass Cleaner
$
Free
1/2 Gallon of Glass Cleaner
Kitchen & Bath Cleaner
$
Free
1/2 Gallon of Kitchen & Bath Cleaner
Degreaser
$
Free
1 bottle of degreaser
Stainless Steel Cleaner
$
Free
1 bottle of Stainless Steel Cleaner
Tilex
$
Free
1 bottle of Tilex
Quantity
Furniture Polish
$
Free
1 bottle of small bottle of furniture polish
Bar Keepers Friend Liquid
$
Free
to be used in Kitchen sinks, tubs, tile showers and glass shower doors (DO NOT USE ON MARBLE OR NATURAL STONE SHOWERS)
Quantity
Bar Keepers Friend Powder
$
Free
to be used in Kitchen sinks, tubs, tile showers and glass shower doors (DO NOT USE ON MARBLE OR NATURAL STONE SHOWERS)
Quantity
Oven Cleaner
$
Free
Red Bag Items
Magic Eraser
$
Free
Quantity
Pumice Stone
$
Free
White Cup - Bathroom
$
Free
White cup used in bathrooms
Toilet Brush
$
Free
Red Cup - Toilet Brush
$
Free
Red Cup used to hold toilet brush
Trash Bags
$
Free
Small Toilet Brush
$
Free
Small (red) toothbrush to only be used on the toilet
Vacuum items
Small vacuum bags
$
Free
Quantity
Dyson Filter
$
Free
Filter should be replaced once a week depending on use
Extra Supplies
Shoe Covers
$
Free
bundled in pairs of 5.
Quantity (per pack)
Spray Bottle
$
Free
Type of bottle
Quantity
Glass Cleaner
Floor Cleaner
Tilex
Kitchen and Bath
Degreaser
Stainless Steel
Furniture Polish
Orange Sprayer
$
Free
Sprayer to use with Stainless Steel Cleaner
White Sprayer
$
Free
Sprayer to use with Floor Cleaner and Furniture Polish
Blue Sprayer
$
Free
Sprayer to use with Glass Cleaner
Green Sprayer
$
Free
Sprayer to use with Kitchen and Bath Cleaner
Yellow Sprayer
$
Free
Sprayer to be used with degreaser
Red Sprayer
$
Free
Sprayer to use with Tilex
Rubber Gloves
$
Free
Sprayer to use with Tilex
Face Masks
$
Free
Packs of 10
Long Duster
$
Free
Exchange because your's broke
Feather Duster
$
Free
Exchange for new one
Business Cards
$
Free
packs of 25
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Both of my vacuums are in good working order
*
Yes
No
Do you have any checks to turn in?
*
Yes
No
Check all of the items that you have in my apron (these are required to provide proper cleaning service)
*
Small Whisk Broom
Small Tile Brush (black, white or blue)
Scraper
Feather Duster
What keys do you currently have?
(ex. #004, #018)
Do you anything that is not listed on this form?
(ex. vacuum is not working well, etc.)
Submit
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