Cleaning Service Request Form Template

Name

First NameLast Name

Email

example@example.com

Phone

Please enter a valid phone number.Format: (000) 000-0000.

Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Deep Clean Add-Ons

Carpet & upholstery cleaning

Extra Services $15 for 15minutes

Policies

• Please give 48 hours’ notice for cancellations or changes.

• Service may be rescheduled for unsafe weather.

• Payment is due at the end of service.

• Please share any concerns or special requests in advance.

• We cannot use ladders beyond 2 steps or climb above 6 feet.

• If there is pet feces, urine, bug infestation of any kind, or mold, our services will be held due to health risk.

• Extra tasks or heavy buildup may add time or cost.

Thank you for choosing Lady Bug Cleaning Services LLC.

Call Us to Book

Please enter a valid phone number.Format: (479-530-7097 ) Denise Erickson .

May we take before-and-after photos?

Pricing Note