Cleaning Service Application

Home Cleaning Service

Application for Services
Thank you for your interest in our cleaning services. We are currently offering basic weekly house cleaning using non-toxic cleaning supplies that we provide.

Weekly basic cleaning services include:
- Dusting furniture
- Wiping down mirrors & glass surfaces
- Disinfecting and cleaning bathrooms
- Disinfecting kitchen surfaces
- Vacuuming & mopping floors
- Vacuuming upholstered furniture
Please take a few minutes to let us know here what you are looking for so that we can gain a better understanding of how we can best serve you and your household!
Name*

First NameLast Name
Email*
example@example.com
Phone Number (we will contact about these services only)*
Please enter a valid phone number.Format: (000) 000-0000.
Address (where cleaning services are being requested)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please let us know here what rooms you'd like to include in weekly basic cleaning services, for example: 3 bedrooms, 2 bathrooms, 1 kitchen, 1 dining room, 1 living area, 1 laundry room, etc.*
Do you have any pets? If so, how many and what kind?*
Other than the basic cleaning services mentioned, are there any other cleaning services that you would like to receive regularly? If so, please explain here.*
Have you ever received home cleaning services before? If yes, please let us know here how your experience was or why it didn't work out - this helps us to know how we can better serve you ;)*
YesI'd like to discuss this further
Wednesday AfternoonThursday MorningThursday AfternoonFriday MorningNone of the above
After you submit this application, we will contact you with any follow up questions! If we feel we may be a good fit for what you are looking for, we will reach out to schedule a date/time to meet you and your home!

Thank you!
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Home Cleaning Service