House Cleaning Form
Your Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Please choose property type.
Single family detached house
Apartment
Condo
Office
Other
Please indicate the square footage
*
Please add some photos of the rooms.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Number of Rooms
Number of Bathrooms
Finished Basement
Please Select
Yes
No
Do you want windows cleaned
Please Select
Yes
No
Do you want the oven cleaned?
Please Select
Yes
No
Do you have pets?
Please Select
Yes
No
What type of pet?
Please Select
Cat
Dog
Other animal that is confined
What is your pets breed?
Requested Cleaning Frequency
Please Select
Weekly
Biweekly
Monthly
Move in/out
One time clean
Construction clean up
Services Requested - please list all rooms you would liked cleaned.
Payment Method
Please Select
Cash
Paypal
Venmo
Zelle
1099
Please verify that you are human.
*
Submit
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