New Customer Service Request Form

Name or Business

First NameLast Name

Name of party responsible for payment (if different from above).

First NameLast Name

Address where service will occur *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Access

LockboxEntry CodeKeySomeone will meet to let you in.

Access info (Code, Key location etc.)

Surface Type/s*

Service Requested*

CleaningOdor/Sanitize/Pet AccidentTry to save the carpet.Other

"Other" Description

Move Furniture?*

YesNoArea is empty.

Preferred service date. Please Note: All selections are subject to current availability. Staff will contact you to confirm schedule.

Instructions- What areas need done?(Example: Bedrooms x 3, hall, steps). Specify if anything is to be omitted.

Deposit Policy:

A non-refundable deposit of $106 will be charged to the card provided if the customer fails to provide access to the service location at the scheduled time, fails to cancel their appointment with more than 24 hours notice, or the utilities and or sewer/septic are found not in service.

Utlity Policy:

If utilities or sewer/septic are found out of service without prior notice, you can elect for us to clean it without power but it will be understand it will be lower quality. OR the utilities must be restored to reschedule.

Pet Policy:

Pets must be contained for their safety and staff safety, no exceptions.

Furniture Policy:

Furniture is not automatically included unless specified. If customer elects to move furniture themselves, everything must be moved before the technician arrival time. The customer cannot move furniture during the cleaning for safety reasons. The customer acknowledges and accepts the furniture items listed in the section above as items that we do not move in any circumstance.

I agree to the policy statements above.

Returning Commercial Customer