Urgent Cleaning Cutie Intake Form

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Name* This field is required.
First Name
Last Name
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Phone Number* This field is required.
Area Code
Phone Number
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Our Services* This field is required.
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My Bag
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My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costUSD
1 Car Seat
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Standard Car Seat
Standard Car Seat
Rotating Car Seat
Car Seat + Base
2 Car Seat Bundle
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Two Standard Car Seats
Two Standard Car Seats
1 Rotating + 1 Standard Car Seat
2 Rotating Car Seats
Stroller Cleaning
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One Seat Stroller
One Seat Stroller
Two Seat Stroller
Wagon
Car Seat + Stroller Bundle
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Create your own bundle
Have a car seat/stroller and other baby gear you would like to also get cleaned? Select this option and we will give you custom pricing on your baby gear! Can be bundled on top of car seat/stroller cleaning or by itself. With pricing ranging based on your bundle!
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Enter Coupon
Total cost
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Brand & Make of your car seat(s)/stroller* This field is required.
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What position is your car seat(s) currently set to?* This field is required.
Forward facing
Rear facing
Forward facing/Rear facing
Booster
Booking a stroller
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Preferred cleaning dateWe will find the earliest availability that works.
Date
Year
Month
Day
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2
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5
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9
10
11
12
Hour
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10
20
30
40
50
Minutes
PM
AM
PM
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What messy pick-up option works best for you?* This field is required.Home address: We will swing by to your home to pick-up your gear. Mutual location: we have a handful of safe locations we are happy to meet your at, to save you time and money. Self drop off: location near Dayspring Angeline to drop-off your gear to us FREE.
Home address pick-up
Mutual Location meeting pick-up
Self drop off to Cutie Base
Not sure yet
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What clean drop-off option works best for you?* This field is required.Home address: We will swing by to your home to drop-off your gear at your front door. Mutual location: we have a handful of safe locations we are happy to meet your at, to save you time and money. Self drop off: location near Dayspring Angeline to self pick-up your gear from us.
Home address drop-off
Mutual Location meeting drop-off
Self drop off to Cutie Base
Not sure yet
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Drop-off Time Frame* This field is required.
Any time that day
7:30am-8:30am
8:30am- 9:30am
9:30am-10:30am
Any time that day
Not sure yet
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Home Pick-up/Drop-off AddressIf you are choosing to have a home pick-up or drop-off please leave your address below. *Travel Fees may apply*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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In order to prepare for your clean: Does your car seat/stroller have any vomit, urine, blood, or fecal remains in it? * This field is required.*May extend cleaning timeframe to ensure best thorough clean is provided.
YESNO
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If yes, please tell me a bit more about the biohazard mess? This will help us prepare for the cleaning.
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Do you understand that there is an additional $15 charge for urgent cleans? As this booking is not in our regular booking availability. We are happy and willing to help as biohazard accidents aren’t planned.
YESNO
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In order to prepare for your clean: Does your car seat/stroller have any mold, damages, or signs of insects?* This field is required.*May jeopardize the integrity of the car seat if one of the following is found in the car seat/stroller
YESNO
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Method of Payment* This field is required.Payment is due prior to pick-up
Cash
Zelle
CashApp
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Do you have any promo codes, questions, or notes for us?
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Local Hero PromotionAll moms are heros, but we want to give an extra thank your to those who are out supporting our community. Our Local Heroes Promotion is available to eligible individuals currently employed in qualifying professions that support and serve the community, including but not limited to first responders, healthcare workers, educators, military personnel, and other approved service roles. Valid work identification, employer verification, or other acceptable proof of eligibility may be required at the time of service. Eligibility is determined at our discretion. Promotion availability, eligible occupations, discount amounts, and promotion terms may be modified, suspended, or discontinued at any time without prior notice. Continued booking or use of our services constitutes acceptance of the current promotional terms and conditions.
Please Select
Police
Firefighters
EMT/Paramedics
Athletic Trainer
Healthcare workers (nurses, physicians, and hospital staff)
Teachers
Military (active duty, reserves, veterans)
Dispatchers/911 operators
Social workers
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Other ways to save $Wanting to save some $? Here are a few ways we are here to help you save money. Upon selecting any of these options, details will be discussed. Not required for booking. We strive to make our service as accessible and affordable as possible while providing a high-end professional cleaning service.
Please Select
Social Media Collaboration
Extended cleaning (1-5 days return
Local meeting location
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Thank you for booking!

Upon submission of this form, we will reach out to you shortly with your invoice and further details. Without confirmation 24 hours prior to service, service will be cancelled. *Does not apply to emergency cleans*

Please reach out if you have any questions! Cutiecarseatservices@gmail.com

*Payment is due upon pick-up. Travel fees my apply will be applied on invoice*

By default all pickups are during the day. If an evening pickup time is needed for your family please reach out. Drop off times also will be dependent on pickup, travel, and extent of clean (all will be discussed prior to clean).

By submitting this form you are agreeing to our Terms a Conditions. Click the link below to view our Terms and Conditions. As well as understanding this is a cleaning service and is in no way, a safety inspection. We reserve the right to modify, update, or revise these Terms and Conditions at any time without prior notice. The most current version will be available at the link provided in this form. By booking, scheduling, attending, or continuing to use our services, you acknowledge and agree to be bound by the current version of these Terms and Conditions. It is the client's responsibility to review the Terms and Conditions before each appointment.

Current Terms & Conditions
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