Commercial Client Intake Form

OBSIDIAN CLEAN CO. COMMERCIAL CLIENT INTAKE FORM

Share your business and property details to help us prepare a customized commercial cleaning plan.
Business Information
Business Name
Primary Contact Name
Position / Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Preferred Method of Communication
Property Information
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Facility
Approximate Square Footage
Number of Floors
Number of Washrooms
Approximate Number of Employees or Daily Occupants
Current Cleaning
Does your business currently use another cleaning company?
What would you like to improve with your cleaning service?
Scheduling Preferences
Desired Service Frequency
Preferred Service Times
Supplies & Products
Obsidian Clean Co. Ltd. supplies all professional cleaning products and equipment required for service unless otherwise arranged.
Do you require fragrance-free or specialty cleaning products?
Access Information
Entry Method

Other
Access Instructions
After-Hours Access for Cleaners
Billing Information
Preferred Payment Method
Billing Email Address
example@example.com
Client Acknowledgement
Safety and Service Acknowledgement
Authorized Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

OBSIDIAN CLEAN CO. COMMERCIAL CLIENT INTAKE FORM