🌸 P.T.C 🌸
Pink Touch Cares is a community support initiative. Submitting a request does not guarantee service. Request are reviewed based on availability and need.
Who is this request for?
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Myself
Someone else
A friend
A family member
Other
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Format: (000) 000-0000.
E-mail
example@example.com
Which best describes the situation? (Select all that apply)
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Elderly (65+)
Disabled
Temporarily unable to maintain their home
Other
Please Specify
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Which one service are you requesting?
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Standard Residential Cleaning (light maintenance only)
Laundry Reset
Kids Room Reset
Which best describes the current condition of the space?
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Well-maintained, just needs help
Light clutter
Moderate clutter
Heavy buildup (may not qualify)
Number of bedrooms?
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Number of bathrooms?
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Are there any pets home? (If yes, please specify the type of pet.)
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Yes
No
Other
If comfortable, you may upload photos of the space to help us access the request. (Optional)
Browse Files
Drag and drop files here
Choose a file
Photos are confidential and used only for review purposes.
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Pink Touch Cares is a community initiative offered at no cost. Submission does not guarantee service. Pink Touch by Lex reserves the right to approve or decline request based on scope, safety, and availability.
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I understand and agree.
I confirm that all information provided is accurate and submitted in good faith.
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