Consultation Form

Consultation Form

This is not a legal binding contract. This form serves as a free evaluation intended to enable E and K Janitorial Service to understand the nature of the potential clients business needs.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Company or Organization Name*
Company or Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Description*
Consultation Interest*

Commercial CleaningPost-Construction CleaningLast Minute/Emergency ServicesREO Managed PropertiesInitial Commercial Deep CleanOther
Other
If other was selected on the previous question please provide a brief explanation.
Is This An Indoor or Outdoor Establishment?*
Type Bothe If It Applies
Is The Establishment Multi-Leveled?*

YesNo
Are You Looking For Reoccurring Services?*

YesNo
What Days Are You Looking To Have E and K Janitorial Provide Services?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What Is The Time Frame Where Access Is Allowed To The Facility For Services To Be Provided?*
Building Square Footage?*
Additional Information/Comments
Please allow 24hrs Response Time After Submitting This Form.
Should be Empty: