TeenWork Service Inquiry
We hope that you enjoy our service and we encourage you to provide us with any feedback.
Name
*
First Name
Last Name
Appointment Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
Cell Phone
*
Work Phone
E-mail
*
example@example.com
Square footage of home
# of bedrooms in home
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
# of bathrooms in home
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
In the event we have to reach while your cleaning appointment is taking place what is your preferred means of contact?
Please Select
Cell Phone
Work Phone
Home Phone
Email
What type of service applies to you?
*
Dog Waste Removal
Moving Job
Junk/Trash Removal
Clean Up & Organizing
Laundry & Delivery
Vehicle wash
Vehicle Clean out
Lawn care/Yard Work
Snow Removal/Ice
Tshirt design/Printing
Other
Are you interested in the following?
Daily Service
Weekly Service
Bi-weekly Service
Monthly Services
Other
Whats your budget for this Project/Job?
*
$20-45
$50-120
$125-200
$250+
How do we gain entrance?
Come to backyard from alley
Come to backyard from the front
Someone will grant access
Call once you've arrived
Text once you've arrived
Other
Do you have a start date in mind for this project or Job?
*
-
Month
-
Day
Year
Date
SPECIFIC/SPECIAL INSTRUCTIONS FOR JOB
Signature
*
In the event that we have to temporarily or permanently change your service consultant, how would you like to be notified?
Please email me
Please call me
Text is fine
Don't email/call, I am OK with any replacements
Submit Form
Submit Form
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