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 cleaning services include:
- Dusting furniture
- Wiping down mirrors & glass surfaces
- Disinfecting and cleaning bathrooms
- Disinfecting kitchen surfaces
- Vacuuming & mopping floors
- Washing bed clothes
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.
Address (where cleaning services are being requested)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide 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.*
How much are you willing/able to pay for these services? Our rates are $30/hr for a minimum of 3 hours per visit. Although we recommend weekly services, you can list a weekly rate or biweekly rate depending on what works for your budget & needs*
Please select ALL the days/times that would work to provide services - best times are when the house will be as clear as possible of family members so we can come in, do our thing and you can come home to a clean home ;)*

Wednesday MorningWednesday 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