Housekeeping Service Request Form

Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Service Details:
Type of Service Requested

Window CleaningPest ControlDomestic CleaningHygiene ServicesCommercial & IndustrialCarpet, Upholstery & MattressWaste ManagementSolar panel cleaningSpecialized cleaningMobile car wash & ValletOther
Please specify*
Preferred Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Property Details:
Type of Property

HouseApartmentSchoolOfficeOther
Provide any specific instructions or requests here, such as areas of focus, cleaning product preferences, or any other special requirements.
Terms and Conditions:

By submitting this request, I acknowledge and agree to the following:
- The service requested will be scheduled based on availability.
- Pricing may vary depending on the size of the property and specific cleaning requirements.
- Payment is due upon completion of the service.
- Changes or cancellations to the service appointment must be made at least 24 hours in advance.
- The service provider will not be liable for any damages or losses resulting from the cleaning service.
Signature

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Date

MonthDayYear
Date
Should be Empty:

Service Details: