Cleaning Service Request Form
We specialize in turning everyday spaces into peaceful, polished, & magically cleaned sanctuaries-because your home deserves to feel like a breath of fresh air
Name
First Name
Last Name
Email
example@example.com
Phone Number:
-
Area Code
Phone Number
How did you helar 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 cleaning:
One-time Deep clean
Move in
Move out
Basic maintenance clean
Monthly/ bi-weekly
Commercial cleaning
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/ offices
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
I
Date available for walk through of home:
-
Month
-
Day
Year
Date
Pets?
Please Select
Yes
No
Add-ons (for basic cleanings)
Oven $40
Refrigerator $35
Baseboards $30
Pantry clean/ organize $30
Trash haul flat rate $65 (subject to change based on size/weight/ bulk)
Below sections will be filled out by the Company.
Quote Prepared by
First Name
Last Name
Signature
Submit
Submit
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