Estimate Request Form
Lila's Cleaning Services, LLC PH# 586 580 1565 info@lilascleaningmi.com
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about us?
Referral
Web Search
Social Media
Other
Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Square Footage
Type of Residence
Please Select
Apartment
Commercial
Residential
Duplex/Triplex
Condo
Office
Other
Type(s) of Flooring
Tile
Carpet
Hardwood
Vinyl
Marble
Other
#of Bedrooms
Please Select
1
2
3
4
5
6
7
8
9
10
#of Bathrooms
Please Select
1
2
3
4
5
6
7
8
9
10
Including Half-bathrooms
Services Requested
General Cleaning
Deep Cleaning
Move in/ Move out Cleaning
Additional Services Needed
Interior windows, tracks and/or blinds washed
Inside of fridge and/or oven
Inside of cabinets (must be emptied)
How often do you want your home cleaned?
Weekly (10% Discount)
Bi-Weekly (5% Discount)
Monthly
One-Time
When do you require this service?
Any special requests and/or additional information you would like us to know?
Below sections will be filled out by the Company.
Quote
Rows
Price ($)
Hours per week
Total Cost ($)
Floors
Windows
Walls
Furniture
Garage
Carpets
Total Amount ($)
Quote Prepared by
First Name
Last Name
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