Cleaning Service Request Form Template

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?

BNI referralWeb SearchSocial MediaA friend or neighbor
Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Total Square Footage
Type of Residence
Type(s) of Flooring

TileCarpetHardwoodVinylMarbleOther
#of Bedrooms
#of Bathrooms
Deep clean add ons

BaseboardsWindowsPantry/Closet OrganizedRefrigeratorCabinetsPorch CleaningOvenBlindsGarage Sweep outDeclutterWet wipe ceiling fansDishesPicking up Before the cleanOther
Payment Method
Below sections will be filled out by the Company.

Quote

	Price ($)	Hours per week	Total Cost ($)
Windows
Baseboards
Blinds
Oven
Fridge
Walls

Total Amount ($)
Quote Prepared by

First NameLast Name
Signature

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Ladybug Cleaning Services' Standard top-to-bottom cleaning includes the following:

DRY DUSTING - corners of the rooms, behind doors, tops of door frames, wall hanging items, ceiling fans & blinds

WET DUSTING (using all-natural melaluca products ) - shelves, tables, surfaces, and entertainment center. (Heavy and fragile items are avoided.)

If there is too much clutter on a surface, the items will be neatly stacked in a pile to access the surface. For the sake of time, if there is an over-cluttered area; that area may be skipped.

KITCHEN- microwave inside and out, stove top, spot clean gas stove grate, vent hood ,back plash,under items on the counter, small countertop appliances wiped down , sink& faucet cleaned and polished ,cabinet fronts wiped down if time allows, dining table and chairs wiped down,a small number of dishes washed if dry mat or towl is present , removal of trash and trash liner replaced, sweep and mop.

LIVINGROOM -(For picking up personal items throuout the home see $63-$83rate) position throw blankets and pillows,tidy up and vacuum/mop.

BATHROOMS - toilet inside and out , shower/tub top-to-bottom"replace your shampoos etc face front ", mirrors, sink, faucet polished, removal of trash and trash liner replaced, and sweep and mop.

BEDROOMS- make the bed,tidy up, position throw blankets and pillows,surfaces wet dusted , vacuum/mop. If requested and linens are present, bed sheets will be changed. All floors vacuumed and mopped .

OUR STANDARD CLEAN take 2-3 hour

Standard with add ons 2-4hours

MOVE OUTS / POST CONSTRUCTION CLEANS GET EVERYTHING CLEANED INSIDE AND OUT AND UNDER does not include outside windows ,garage sweep out only upon request . typically take anywhere from 3-6 hours. 1-3 cleaners

-- Disclaimer

Please understand that the estimate is based on the information provided by the client before inspecting the property. Additional services and charges may be agreed upon before the scheduled service date. Payments are due when services have been completed.
Please be advised that some properties may be beyond our capabilities when there is excessive mold, pet urine/feces, live roaches, and/or bed bugs; service may be withheld due to health concerns.
Please let Ladybug Services know the condition of the property including extended vacancy and damage to the internal structure. Pictures of the property may allow Ladybug Services to determine a plan of action. Send photos to LadyBugnwa@gmail.com.

WE USE MELALUCA CLEANING PRODUCTS AS WELL AS MR CLEAN IF YOU HAVE A SUGESTED PRODUCT WE WILL USE IT.

PLEASE UNDERSTAND THAT WE DO NOT USE BLEACH PRODUCTS OR CLEAN CAT LITTER BOXES PLEASE AND THANK YOU

Thank you for choosing Lady Bug Cleaning Services LLC. I look forward to serving my community one home at a time.
ABOUT ME , MY NAME IS DENISE ERICKSON born and raised Waterford, Ca but have lived in NWA for 30 years , I am 54 years old a wife of 34 years my husband works for LEW Thompson trucking ,we have 4 grown kids 2 daughters & 2 sons and 6 grandkids they all live here except one daughter who lives in Eureka Ca , i am also full time care giver to my 80 year old dad who is doing well .

I have worked in restaraunts most my life and credit my ability to work in an organized & efficient manner on this extentive exsperience . I have held every position but ended on waitressing as it was my absalute favorite due to being able to talk to people and interact with them on a more personal level. Needless to say i am a people person and love helping the people of my community .

My business is licensed and insured ,credited with the BBB and i am a member of BNI Go Getters Chapter located in Springdale . Ive been cleaning houses since 2019 when a customer i waited on often bought a brand new home and needed a house keeper . Mr Assem is still my client today.

I have loved cleaning since i was a little girl , i belive it to be important that we live in a clean space . Having a clean and tidy home helps with mental health , creativity and much more . Thank you for choosing Lady Bug Cleaning Services for all your clean home needs . I look forward to working with you .

Denise Erickson
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