Car detailing request form
Name
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First Name
Last Name
Pronouns
What is the make/model of the vehicle?
To get an idea of your detail could I see some pictures of your interior so I can provide you a time related estimate?
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What are your goals for your interior clean? What are some areas you'd like me to see to, or some areas you'd like me to avoid? Please try to be as detailed as possible :)
What is your preferred method of contact?
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Phone
Email
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address where I will detail vehicle
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is parking like there?
If there are associated parking fees in your area are you willing and able to pay for them once your interior clean has finished?
Yes
Not applicable
If you're outside of my service area are you comfortable paying an out of service area fee (anywhere from $15-$25 per trip) for the extra time and gas it takes me to get to you? (Service area pictured at below)
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Yes
No
I'd like to discuss this further
I tend towards $55-$65 an hour on the sliding scale for interior cleaning, is that a doable sum?
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Yes
No
I'd like to discuss this further
My basic cleaning chemicals I use are windex, and 409. Or if you're opting for stain removal I use LA's Totally Awesome. Are any of those NOT okay to use in your car? And if so, do you have any alternatives you'd like me to use instead? (This may effect the quality of your clean but I will always try my best with use of your materials if requested)
Fo you have any allergies or sensitivities I should be aware of?
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Were you hoping for any combination of Vacuuming, Wet vacuuming for seats, or stain removal? If so, which ones?
Vacuuming
Wet vacuuming
Stain removal
Please keep in mind that after using my water vac or stain remover your seats will be damp but not wet, and your car may need time with open doors somewhere that it can dry out after I am finished.
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I understand and agree
I require access to an external outlet for my shop vacuum, I use a 30 ft extension cord and need access to a power supply. I may also need access to water if I am doing wet treatments or stain removal, for your interior (I tend to bring my own but may need more depending on how extensive the stain or wet treatments) are either or both of these things you can reasonably provide?
Yes to both
No, but I would like to discuss logistics through my preferred contact method to see if we can figure out a solution
Building a social media presence is really important to my work, do I have your consent to take before/after photos of your interior clean? (Personal or identifying information will never be shown in any of the pictures that I take/post on my social media page)
I consent to before/after photos
No thank you, please do not take any pictures
I have specifics about what you're allowed to photograph and l'd like you to discuss those specifics with me
I have a few asks before I show up for my clean such as,
Before my clean please remove any large or heavy objects from your car, otherwise I will work around them.
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I understand and agree
I ask that you wear a mask (filtration grade kn95, n95, 3m aura) around me, for the duration of my clean as well as any others I may come into contact with on your property or chosen area unless you/other has a medical exemption related to masking. Is that something you can agree to, or agree to inform me about if not?
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I agree
I agree, and I would like to be provided with masks
I have a medical exemption I'd like to discuss further
A final piece about contact information being -I will contact the number or email you provide the day before your clean to check in to see if you or anyone else in your home has been sick or symptomatic in the last 10 days, or if you have had a recent known covid exposure, in which case you will be rescheduled for a later date. If I find that anyone in your household is in fact sick, symptomatic or exposed (or if there is a repeated refusal after reminders to wear proper filtration masks around me) I will stop my clean and charge for any of the time leading up to that point, regardless if the job is finished. I have to put my health and the health of those I service as a top priority.
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I understand your terms and agree to them
If I do not hear back from you from your preferred method of contact before the date of your service, I will not show up for your clean. So please be sure to check your texts, email, and spam folder!
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Fair enough, I'll be sure to check them
As a rule I do not remove seats or un-adhere any fixtures from the body of the car, I work around as best I can. ‼️ I will not drive your car anywhere and am not willing to.‼️ For my safety and your satisfaction I do not clean or remove Rust, Mold, Sharps (glass, needles, etc) cigarette lighters or sockets, biohazards or medical waste. If I find interior molding, I will need to stop my detailing for sanitary crossover purposes and will charge for any time leading up to the discovery, do you agree to this?
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I understand your restrictions and agree to them
I reserve the right to refuse service for a clean and filling out this form does not entail any contract of service.
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I understand
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