Cleaning Service Request Form

Cleaning Service Request Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
How did you hear about us?

ReferralWeb SearchSocial MediaOther
If you choose referral or other, please specify below
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Total Square Footage*
Type of Residence
# of Bedrooms*
# of Bathrooms*
Extra Services

Inside OvenInside RefrigeratorInside WindowsInside Cabinets/Drawers
How often?*

One-TimeWeeklyBi-WeeklyMonthlyBi-MonthlyOther
If you chose other, please specify below
What service are you looking to have done?*

Standard CleanDeep CleanMove In/Out CleanPost Construction CleanOther
If you chose other, please specify below
Below sections will be filled out by the Company.
This is a good faith estimate and it was prepared with the best of our knowledge. Considering the factors that could affect the price, for instance: the condition we find your home at the time of the service and the type of services you want done.

If more time is needed, we will not go over the time we agreed on without pre approval. If less time is needed, the price will be deducted.

We would clean everything from baseboards to ceiling fans. We also use non toxic cleaning supplies and no bleach.

Quote

	Estimated hours per service	Service Type	Extra Service
Estimation