Pristine Living Service Request Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please type in a valid phone numberFormat: 0000-0000000.

Please specify

One-OffWeeklyBi-WeeklyMonthly

Preferred Date and Time (Minimum 2 hours)*

Date

Hour Minutes

Number of Rooms to be Cleaned*

HouseApartmentStudioOther

Address*

Address

Street Address/Road

CityState / Province (optional)

Postal / Zip Code

Number of Bedrooms*

YesNo

Provide any specific instructions/details or requests here, such as: Areas of focus, what kind of pet(s) do you have or any other special requirements.*

Terms and Conditions:

By submitting this request, I acknowledge and agree to the following:

The service requested will be scheduled based on availability.
Pricing may vary depending on the number of rooms and specific cleaning requirements.
Payment is due 24 hours before the day of your session.
Changes or cancellations to the service appointment must be made at least 24 hours before the session. (Please note, late cancellations are non-refundable)
The service provider will not be liable for any damages resulting from the cleaning service whilst using your own products.
We do not provide equipment; we only provide products.

I agree with the T&Cs:*

Date

Pristine Living Service Request Form

Service Details:

Property Details: