New Client Intake
Please fill in the following information, final prices will be given after a proper walk through. We will be in touch with you shortly! Thank you
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select a service
*
Please Select
Recurring cleaning
One-time Deep Cleaning
Move-in/out cleaning
Post construction cleaning
Frequency
*
Please Select
Weekly
Bi-weekly
Monthly
Bi-monthly
One-time
Add extra services? (Added separately from estimated cost)
Laundry - wash and dry ($10/load)
Laundry - fold and hang ($10/load)
Linen change ($10/bed)
Dishes ($10/load)
Inside oven ($50)
Inside fridge ($50)
Please select your preferred clean day and arrival window (not guaranteed)
Is your schedule flexible? If so, please list other available days/times
What levels of the home will be cleaned?
*
Main level
Upper level
Lower level
Other
How many bedrooms?
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
Include all rooms (office rooms, play rooms, guest rooms etc.)
How many full bathrooms?
*
Please Select
0
1
2
3
4
5
Include your typical bathroom
How many half bathrooms?
*
Please Select
0
1
2
3
4
5
6
Select rooms to be included in clean
*
Kitchen
Small kitchen
Living room
Living room #2
Dining room
Laundry room
Office space
Sitting area
Playroom area
Game area
Bar area
Rec room
None
Other
Please list any other rooms
ESTIMATED cost per visit for a standard clean (deep clean = up to 2x this price) Final price will be given after walk through.
How will you be paying?
*
Cash
Zelle
Check
Email
*
example@example.com
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