Cleaning Service Request
Please fill in the details below.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about us?
Referral
Web Search
Social Media
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
Services Requested
Carpet cleaning
Tile&Grout cleaning
upholstery
Mattress
Rugs
Water damage extraction
Pressure washing
Air duct
Dryer vent
Payment Method
Please Select
Cash
Check
Credit Card
Cash App
Zelle
Below sections will be filled out by the Company.
Quote
Price ($)
Hours per week
Total Cost ($)
Floors
Windows
Walls
Furniture
Garage
Carpets
Total Amount ($)
Quote Prepared by
First Name
Last Name
Signature
Submit
Submit
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