Information Request Form for V&K Maintenance and Cleaning

Registration with V&K Cleaning
Your Name

First NameLast Name
Your E-mail, valid formats please
example@example.com
Phone Number
Please enter a valid phone number.
Address of Residency

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Property (please chose one)

RESIDENTIALCOMMERCIALREAL ESTATE FOR SALEOTHER (please specify in additional notes)
Frequency of Service
Request Information regarding Cleaning (click all that apply)

STANDARD CLEANINGDEEP CLEANINGMOVE IN/OUT CLEANINGSHOW READY CLEANINGPOST CONSTRUCTION CLEANINGOTHER (please specify in additional notes)
Preferred date and time slot (for cleaning service)
Additional Notes
I agree to be contacted regarding this (Signature)

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Registration with V&K Cleaning