Cleaning Service Request Form Template

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

#of Bedrooms

#of Bathrooms

Payment Method

Deluxe / Move out includes standard and deep clean list plus

RefrigeratorOvenGarage sweep / mopPorch sweep and mop

Our Bi-weekly and Monthly maintenance Cleaning includes the following

Below sections will be filled out by the Company.

Deep Clean

Quote

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

Total Amount ($)

Quote Prepared by

First NameLast Name

Signature

-- Disclaimer

Please understand that the estimate is based on the information provided by the client before inspecting the property.

Additional services and charges must 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 ALL NATURAL CLEANING PRODUCTS IF YOU HAVE A SUGGESTED 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.

To book call us

Please enter a valid phone number.